Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.84 / $57.30 / $157.08	Facility		$9.84	$57.30	$157.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $8.56 / $9.84	Professional		$6.54	$8.56	$9.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $21.32 / $22.55	Facility		$17.63	$21.32	$22.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.62 / $32.79	Professional		$3.62	$3.62	$32.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $20.04 / $20.83	Facility		$5.47	$20.04	$20.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $8.19	Professional		$8.19	$8.19	$8.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $40.38	Facility		$22.53	$26.33	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $22.08 / $25.09	Professional		$9.50	$22.08	$25.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.52 / $6.56 / $9.84	Facility		$6.52	$6.56	$9.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.52 / $7.71 / $100.00	Facility		$6.52	$7.71	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $6.56 / $16.29	Professional		$2.45	$6.56	$16.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $12.30 / $85.00	Professional		$4.05	$12.30	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.52 / $6.56 / $9.84	Facility		$6.52	$6.56	$9.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $19.80 / $74.67	Professional		$9.50	$19.80	$74.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $16.39 / $100.00	Facility		$16.39	$16.39	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $4.90 / $7.06	Professional		$4.34	$4.90	$7.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $17.46 / $30.90	Professional		$17.46	$17.46	$30.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $30.90 / $44.77	Professional		$14.78	$30.90	$44.77
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $4.92 / $16.29	Professional		$2.47	$4.92	$16.29