Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.92 / $153.60 / $562.10	Facility		$24.92	$153.60	$562.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $20.88 / $31.43	Professional		$11.74	$20.88	$31.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.83 / $46.96 / $49.67	Facility		$38.83	$46.96	$49.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $74.72	Professional		$8.92	$8.92	$74.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $49.03 / $50.95	Facility		$12.32	$49.03	$50.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Professional		$18.05	$18.05	$18.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $48.63 / $55.26	Professional		$20.65	$48.63	$55.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $21.67	Facility		$16.07	$16.07	$21.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.98 / $86.10	Facility		$14.45	$16.98	$86.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $18.05 / $59.12	Professional		$10.84	$18.05	$59.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $35.39 / $85.00	Professional		$9.02	$35.39	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $21.67	Facility		$16.07	$16.07	$21.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $44.35 / $76.73	Professional		$22.07	$44.35	$76.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $36.11 / $86.10	Facility		$36.11	$36.11	$86.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $11.92 / $17.77	Professional		$9.57	$11.92	$17.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $38.46 / $67.30	Professional		$38.46	$38.46	$67.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $67.30 / $98.61	Professional		$67.30	$67.30	$98.61
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $49.49	Professional		$10.47	$15.14	$49.49