Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $167.26 / $395.20	Facility		$65.40	$167.26	$395.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $23.50 / $38.00	Professional		$12.57	$23.50	$38.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.13 / $44.90 / $47.49	Facility		$37.13	$44.90	$47.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $70.45	Professional		$6.91	$6.91	$70.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $18.13 / $43.87	Facility		$17.27	$18.13	$43.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $17.27	Professional		$17.27	$17.27	$17.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $55.81 / $85.61	Facility		$47.76	$55.81	$85.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $31.99 / $52.85	Professional		$19.82	$31.99	$52.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $8.98 / $20.72	Facility		$8.98	$8.98	$20.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $20.72 / $143.78	Facility		$8.98	$20.72	$143.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $17.27 / $36.27	Professional		$10.02	$17.27	$36.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $17.27 / $85.00	Professional		$8.55	$17.27	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $8.98 / $20.72	Facility		$8.98	$8.98	$20.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $40.88 / $58.30	Professional		$22.78	$40.88	$58.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $82.03	Facility		$34.54	$34.54	$82.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $9.15	Professional		$8.44	$8.44	$9.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $36.78	Professional		$17.27	$17.27	$36.78
Security Health Facility/Professional Facility Modifier Low / Median / High Price $86.52 / $104.14 / $118.99	Facility		$86.52	$104.14	$118.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $94.29	Professional		$17.27	$17.27	$94.29
United Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $13.82 / $36.27	Professional		$8.64	$13.82	$36.27