Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.22 / $172.16 / $311.04	Facility		$43.22	$172.16	$311.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $16.89 / $34.10	Professional		$14.33	$16.89	$34.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.67 / $50.39 / $53.30	Facility		$41.67	$50.39	$53.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $9.57 / $80.19	Professional		$9.57	$9.57	$80.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $52.61 / $54.69	Facility		$13.22	$52.61	$54.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.17 / $62.13 / $95.31	Facility		$53.17	$62.13	$95.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $52.18 / $59.30	Professional		$22.30	$52.18	$59.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $17.26 / $23.26	Facility		$17.26	$17.26	$23.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $42.33 / $196.78	Facility		$17.26	$42.33	$196.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $19.38 / $47.98	Professional		$11.24	$19.38	$47.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $37.99 / $85.00	Professional		$9.69	$37.99	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $17.26 / $23.26	Facility		$17.26	$17.26	$23.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $47.52 / $208.67	Professional		$23.68	$47.52	$208.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $38.76 / $100.00	Facility		$38.76	$38.76	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $12.74 / $19.07	Professional		$10.27	$12.74	$19.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $39.14 / $41.27	Professional		$39.14	$39.14	$41.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $39.14 / $105.81	Professional		$39.14	$39.14	$105.81
United Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $15.98 / $53.11	Professional		$9.69	$15.98	$53.11