Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $40.14 / $14,482.00	Facility		$21.60	$40.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $16.92 / $21.60	Professional		$14.76	$16.92	$21.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.70 / $46.80 / $49.50	Facility		$38.70	$46.80	$49.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $8.89 / $74.48	Professional		$8.89	$8.89	$74.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $48.88 / $50.80	Facility		$12.28	$48.88	$50.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $48.47 / $55.08	Professional		$20.65	$48.47	$55.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.03 / $21.60	Facility		$16.03	$16.03	$21.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $16.20 / $86.10	Facility		$14.76	$16.20	$86.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $18.00 / $49.86	Professional		$10.80	$18.00	$49.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $35.28 / $85.00	Professional		$9.00	$35.28	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.03 / $21.60	Facility		$16.03	$16.03	$21.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $44.35 / $112.33	Professional		$22.00	$44.35	$112.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $86.10	Facility		$36.00	$36.00	$86.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $11.92 / $17.51	Professional		$9.53	$11.92	$17.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $38.33	Professional		$18.52	$18.52	$38.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $98.28	Professional		$18.52	$18.52	$98.28
United Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $14.40	Facility		$13.58	$13.58	$14.40
United Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $15.09 / $49.33	Professional		$10.44	$15.09	$49.33