Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.42 / $62.30 / $165.15	Facility		$12.42	$62.30	$165.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $5.57 / $9.44	Professional		$4.18	$5.57	$9.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $14.48 / $15.32	Facility		$11.98	$14.48	$15.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $23.04	Professional		$2.75	$2.75	$23.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $15.13 / $15.72	Facility		$3.72	$15.13	$15.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.57 / $5.57	Professional		$5.57	$5.57	$5.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $17.89 / $27.46	Facility		$15.32	$17.89	$27.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $15.00 / $17.05	Professional		$6.20	$15.00	$17.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $6.68	Facility		$4.79	$4.79	$6.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $5.57 / $70.00	Facility		$4.79	$5.57	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $5.57 / $15.43	Professional		$3.34	$5.57	$15.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $19.68 / $85.00	Professional		$2.76	$19.68	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $6.68	Facility		$4.79	$4.79	$6.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $13.46 / $23.44	Professional		$6.81	$13.46	$23.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $11.14 / $70.00	Facility		$11.14	$11.14	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.76 / $5.49	Professional		$2.95	$3.76	$5.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $9.58 / $11.86	Professional		$9.58	$9.58	$11.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $9.58 / $30.41	Professional		$9.58	$9.58	$30.41
United Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $4.68 / $16.38	Professional		$3.23	$4.68	$16.38