Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.31 / $73.63 / $212.54	Facility		$25.31	$73.63	$212.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $15.24 / $28.96	Professional		$13.77	$15.24	$28.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.34 / $54.83 / $58.00	Facility		$45.34	$54.83	$58.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $86.03	Professional		$8.44	$8.44	$86.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $51.54 / $53.57	Facility		$11.38	$51.54	$53.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $21.09 / $21.09	Professional		$21.09	$21.09	$21.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $67.39 / $103.38	Facility		$57.67	$67.39	$103.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $56.79 / $64.54	Professional		$24.37	$56.79	$64.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $14.91 / $25.31	Facility		$13.80	$14.91	$25.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $21.09 / $100.18	Facility		$13.80	$21.09	$100.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $21.09 / $55.93	Professional		$11.91	$21.09	$55.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $31.64 / $85.00	Professional		$10.55	$31.64	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $14.91 / $25.31	Facility		$13.80	$14.91	$25.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $51.48 / $71.50	Professional		$24.70	$51.48	$71.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.18 / $42.18 / $100.18	Facility		$42.18	$42.18	$100.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.38 / $15.16	Professional		$10.29	$10.38	$15.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $36.04 / $44.91	Professional		$36.04	$36.04	$44.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $36.04 / $115.15	Professional		$36.04	$36.04	$115.15
United Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $21.09 / $21.09	Facility		$21.09	$21.09	$21.09
United Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $16.87 / $65.04	Professional		$10.55	$16.87	$65.04