Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $82.72 / $165.38	Facility		$14.45	$82.72	$165.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $5.77 / $8.89	Professional		$5.44	$5.77	$8.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $16.85 / $17.82	Facility		$13.93	$16.85	$17.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $26.81	Professional		$4.80	$4.80	$26.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.32 / $17.60 / $18.29	Facility		$4.32	$17.60	$18.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $6.48	Professional		$6.48	$6.48	$6.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.06 / $32.31	Facility		$18.02	$21.06	$32.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $17.45 / $19.82	Professional		$7.43	$17.45	$19.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $5.78 / $7.78	Facility		$5.78	$5.78	$7.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $26.70 / $102.64	Facility		$5.78	$26.70	$102.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $6.48 / $19.03	Professional		$3.81	$6.48	$19.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $12.70 / $85.00	Professional		$3.24	$12.70	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $5.78 / $7.78	Facility		$5.78	$5.78	$7.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $15.84 / $59.25	Professional		$7.92	$15.84	$59.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $12.96 / $100.00	Facility		$12.96	$12.96	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.25 / $6.27	Professional		$3.43	$4.25	$6.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $13.80	Professional		$6.08	$6.08	$13.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $35.38	Professional		$6.08	$6.08	$35.38
United Facility/Professional Facility Modifier Low / Median / High Price $2.17 / $2.17 / $6.48	Facility		$2.17	$2.17	$6.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.33 / $17.76	Professional		$3.24	$5.33	$17.76