Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $83.67 / $107.69	Facility		$27.72	$83.67	$107.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.79 / $7.81	Professional		$5.60	$5.79	$7.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $16.93 / $17.89	Facility		$14.00	$16.93	$17.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $27.87	Professional		$4.82	$4.82	$27.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $17.67 / $18.36	Facility		$4.34	$17.67	$18.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $6.51 / $6.51	Professional		$6.51	$6.51	$6.51
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 / $17.53 / $19.93	Professional		$7.43	$17.53	$19.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $5.80 / $7.81	Facility		$5.80	$5.80	$7.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $47.58 / $102.61	Facility		$5.80	$47.58	$102.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $6.51 / $21.32	Professional		$3.78	$6.51	$21.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $17.97 / $85.00	Professional		$3.26	$17.97	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $5.80 / $7.81	Facility		$5.80	$5.80	$7.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $15.84 / $92.26	Professional		$7.95	$15.84	$92.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $100.00	Facility		$13.02	$13.02	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $4.25 / $6.27	Professional		$3.45	$4.25	$6.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $13.86	Professional		$8.09	$8.09	$13.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $25.95 / $35.54	Professional		$8.09	$25.95	$35.54
United Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $5.46 / $18.03	Professional		$3.26	$5.46	$18.03