Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $67.66 / $129.27	Facility		$19.10	$67.66	$129.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $14.39 / $21.86	Professional		$13.83	$14.39	$21.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $41.39 / $43.78	Facility		$34.22	$41.39	$43.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $65.45	Professional		$7.86	$7.86	$65.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $43.18 / $44.88	Facility		$10.62	$43.18	$44.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $15.92 / $15.92	Professional		$15.92	$15.92	$15.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $79.15	Facility		$44.15	$51.60	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $42.87 / $48.71	Professional		$18.17	$42.87	$48.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $14.17 / $19.10	Facility		$14.17	$14.17	$19.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $19.10 / $103.06	Facility		$14.17	$19.10	$103.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.10 / $46.66	Professional		$9.55	$19.10	$46.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $27.40 / $85.00	Professional		$7.96	$27.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $14.17 / $19.10	Facility		$14.17	$14.17	$19.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $38.65 / $53.90	Professional		$19.44	$38.65	$53.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $31.84 / $75.62	Facility		$31.84	$31.84	$75.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $10.45 / $12.55	Professional		$8.44	$10.45	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $21.63 / $33.90	Professional		$21.63	$21.63	$33.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $21.63 / $86.92	Professional		$21.63	$21.63	$86.92
United Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $15.92 / $15.92	Facility		$15.92	$15.92	$15.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.92 / $43.63	Professional		$9.55	$15.92	$43.63