Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $30.60 / $189.12	Facility		$16.46	$30.60	$189.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $12.43 / $16.46	Professional		$12.21	$12.43	$16.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $35.67 / $37.72	Facility		$29.50	$35.67	$37.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $6.78 / $56.77	Professional		$6.78	$6.78	$56.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $37.25 / $38.71	Facility		$9.36	$37.25	$38.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $67.84	Facility		$37.85	$44.23	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $36.95 / $41.99	Professional		$15.69	$36.95	$41.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $12.21 / $16.46	Facility		$12.21	$12.21	$16.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $13.19 / $222.00	Facility		$12.21	$13.19	$222.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $13.72 / $38.00	Professional		$8.03	$13.72	$38.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $26.88 / $85.00	Professional		$6.86	$26.88	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $12.21 / $16.46	Facility		$12.21	$12.21	$16.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $33.26 / $147.12	Professional		$16.76	$33.26	$147.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $27.44 / $222.00	Facility		$27.44	$27.44	$222.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $8.98 / $13.33	Professional		$7.27	$8.98	$13.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $29.22 / $123.60	Professional		$29.22	$29.22	$123.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.69 / $74.91 / $123.60	Professional		$54.69	$74.91	$123.60
United Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $16.46 / $16.46	Facility		$16.46	$16.46	$16.46
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $11.31 / $40.22	Professional		$6.86	$11.31	$40.22