Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $96.11 / $135.60	Facility		$30.40	$96.11	$135.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $4.68 / $18.80	Professional		$3.93	$4.68	$18.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $13.47 / $14.25	Facility		$11.14	$13.47	$14.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $3.83 / $22.19	Professional		$3.83	$3.83	$22.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $14.05 / $14.61	Facility		$3.46	$14.05	$14.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $5.18	Professional		$5.18	$5.18	$5.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $16.85 / $25.85	Facility		$14.42	$16.85	$25.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $13.95 / $15.85	Professional		$5.78	$13.95	$15.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $6.22	Facility		$4.61	$4.61	$6.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $24.36 / $54.54	Facility		$4.61	$24.36	$54.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $5.18 / $15.18	Professional		$3.04	$5.18	$15.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $14.30 / $85.00	Professional		$2.59	$14.30	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $6.22	Facility		$4.61	$4.61	$6.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $12.67 / $65.89	Professional		$6.99	$12.67	$65.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $10.36 / $100.00	Facility		$10.36	$10.36	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.43 / $4.97	Professional		$2.75	$3.43	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $11.03	Professional		$6.08	$6.08	$11.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $28.28	Professional		$6.08	$6.08	$28.28
United Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.18 / $5.18	Facility		$5.18	$5.18	$5.18
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.37 / $15.18	Professional		$3.00	$4.37	$15.18