Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $61.64 / $83.52	Facility		$21.08	$61.64	$83.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.01 / $5.58	Professional		$3.39	$4.01	$5.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $11.75 / $12.43	Facility		$9.72	$11.75	$12.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $19.36	Professional		$3.35	$3.35	$19.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $12.27 / $12.75	Facility		$3.02	$12.27	$12.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $4.51	Professional		$4.51	$4.51	$4.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $14.74 / $22.62	Facility		$12.62	$14.74	$22.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $12.17 / $13.83	Professional		$5.37	$12.17	$13.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $5.42	Facility		$4.01	$4.01	$5.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $28.84 / $100.00	Facility		$4.01	$28.84	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $4.51 / $17.21	Professional		$2.71	$4.51	$17.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $8.85 / $85.00	Professional		$2.25	$8.85	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $5.42	Facility		$4.01	$4.01	$5.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $11.09 / $63.68	Professional		$5.52	$11.09	$63.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $9.03 / $100.00	Facility		$9.03	$9.03	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.94 / $4.44	Professional		$2.40	$2.94	$4.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $9.63	Professional		$6.08	$6.08	$9.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $24.68	Professional		$6.08	$6.08	$24.68
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.72 / $12.52	Professional		$2.25	$3.72	$12.52