Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.30 / $169.92 / $240.10	Facility		$41.30	$169.92	$240.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $16.54 / $37.04	Professional		$13.69	$16.54	$37.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $48.15 / $50.93	Facility		$39.82	$48.15	$50.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $13.72 / $79.31	Professional		$13.72	$13.72	$79.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $50.28 / $52.25	Facility		$12.35	$50.28	$52.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $18.52	Professional		$18.52	$18.52	$18.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $60.02 / $92.08	Facility		$51.36	$60.02	$92.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $49.87 / $56.68	Professional		$21.06	$49.87	$56.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $16.50 / $22.22	Facility		$16.50	$16.50	$22.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $40.44 / $183.92	Facility		$16.50	$40.44	$183.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $15.64 / $51.30	Professional		$10.74	$15.64	$51.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $38.19 / $85.00	Professional		$9.17	$38.19	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $16.50 / $22.22	Facility		$16.50	$16.50	$22.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $45.14 / $166.90	Professional		$22.63	$45.14	$166.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $37.04 / $100.00	Facility		$37.04	$37.04	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $12.25 / $18.03	Professional		$9.82	$12.25	$18.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $31.72 / $39.44	Professional		$31.72	$31.72	$39.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $31.72 / $101.12	Professional		$31.72	$31.72	$101.12
United Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $18.52 / $18.52	Facility		$18.52	$18.52	$18.52
United Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $15.28 / $50.75	Professional		$9.26	$15.28	$50.75