Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $126.50 / $348.70	Facility		$22.16	$126.50	$348.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $14.00 / $19.27	Professional		$11.88	$14.00	$19.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.53 / $41.76 / $44.17	Facility		$34.53	$41.76	$44.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $7.93 / $66.45	Professional		$7.93	$7.93	$66.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $43.60 / $45.31	Facility		$10.96	$43.60	$45.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $16.05 / $16.05	Professional		$16.05	$16.05	$16.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $79.15	Facility		$44.15	$51.60	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $43.24 / $49.14	Professional		$18.59	$43.24	$49.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $14.31 / $19.27	Facility		$14.31	$14.31	$19.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $16.39 / $126.56	Facility		$14.31	$16.39	$126.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $16.05 / $52.59	Professional		$9.31	$16.05	$52.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $31.50 / $85.00	Professional		$8.02	$31.50	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $14.31 / $19.27	Facility		$14.31	$14.31	$19.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $39.60 / $55.00	Professional		$19.62	$39.60	$55.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $32.11 / $124.96	Facility		$32.11	$32.11	$124.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.62 / $15.68	Professional		$8.51	$10.62	$15.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $34.20 / $65.81	Professional		$34.20	$34.20	$65.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $65.81 / $87.69	Professional		$64.02	$65.81	$87.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.46 / $39.76	Professional		$8.02	$13.46	$39.76