Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $110.70 / $188.16	Facility		$16.77	$110.70	$188.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $6.70 / $12.16	Professional		$6.29	$6.70	$12.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $19.55 / $20.68	Facility		$16.17	$19.55	$20.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.57 / $31.12	Professional		$5.57	$5.57	$31.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $20.43 / $21.23	Facility		$5.01	$20.43	$21.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $7.52 / $7.52	Professional		$7.52	$7.52	$7.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $24.22 / $37.15	Facility		$20.73	$24.22	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $20.25 / $23.01	Professional		$8.67	$20.25	$23.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $6.69 / $9.02	Facility		$6.69	$6.69	$9.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $69.28 / $150.88	Facility		$6.69	$69.28	$150.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $7.52 / $28.65	Professional		$4.51	$7.52	$28.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $14.72 / $85.00	Professional		$3.76	$14.72	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $6.69 / $9.02	Facility		$6.69	$6.69	$9.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $18.22 / $67.41	Professional		$9.19	$18.22	$67.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $15.04 / $100.00	Facility		$15.04	$15.04	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $4.90 / $7.32	Professional		$3.99	$4.90	$7.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $16.01 / $31.42	Professional		$16.01	$16.01	$31.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $31.42 / $41.06	Professional		$29.99	$31.42	$41.06
United Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $6.20 / $20.61	Professional		$3.76	$6.20	$20.61