Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $104.98 / $257.30	Facility		$22.98	$104.98	$257.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $13.91 / $27.78	Professional		$13.36	$13.91	$27.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.94 / $39.83 / $42.13	Facility		$32.94	$39.83	$42.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $63.39	Professional		$7.57	$7.57	$63.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $41.62 / $43.26	Facility		$10.45	$41.62	$43.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $15.32	Professional		$15.32	$15.32	$15.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $49.49 / $75.92	Facility		$42.35	$49.49	$75.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $41.25 / $46.88	Professional		$17.35	$41.25	$46.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $13.65 / $18.38	Facility		$13.65	$13.65	$18.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $15.32 / $206.91	Facility		$13.65	$15.32	$206.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $15.32 / $41.94	Professional		$8.89	$15.32	$41.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $42.28 / $85.00	Professional		$7.66	$42.28	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $13.65 / $18.38	Facility		$13.65	$13.65	$18.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $37.22 / $274.52	Professional		$18.73	$37.22	$274.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $30.64 / $206.91	Facility		$30.64	$30.64	$206.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.13 / $14.90	Professional		$8.11	$10.13	$14.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $32.61 / $105.32	Professional		$32.61	$32.61	$105.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $83.65 / $105.32	Professional		$56.96	$83.65	$105.32
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $13.00 / $41.98	Professional		$9.19	$13.00	$41.98