Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $24.11 / $214.76	Facility		$12.97	$24.11	$214.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $9.66 / $12.97	Professional		$7.99	$9.66	$12.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.24 / $28.11 / $29.73	Facility		$23.24	$28.11	$29.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $44.72	Professional		$5.34	$5.34	$44.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.38 / $29.36 / $30.51	Facility		$7.38	$29.36	$30.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $34.75 / $53.31	Facility		$29.74	$34.75	$53.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $29.11 / $33.08	Professional		$12.39	$29.11	$33.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $12.97	Facility		$9.63	$9.63	$12.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $9.73 / $144.00	Facility		$8.86	$9.73	$144.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $10.81 / $29.94	Professional		$6.49	$10.81	$29.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $21.19 / $85.00	Professional		$5.41	$21.19	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $12.97	Facility		$9.63	$9.63	$12.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $26.14 / $274.52	Professional		$13.21	$26.14	$274.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $21.62 / $144.00	Facility		$21.62	$21.62	$144.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $7.19 / $10.45	Professional		$5.73	$7.19	$10.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $23.02 / $50.48	Professional		$23.02	$23.02	$50.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $50.48 / $59.02	Professional		$50.48	$50.48	$59.02
United Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $8.92 / $26.77	Professional		$6.27	$8.92	$26.77