Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $136.18 / $169.75	Facility		$11.66	$136.18	$169.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $9.23 / $28.06	Professional		$7.97	$9.23	$28.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $25.27 / $26.73	Facility		$20.90	$25.27	$26.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $39.65	Professional		$3.89	$3.89	$39.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $23.76 / $24.69	Facility		$6.48	$23.76	$24.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $9.72 / $9.72	Professional		$9.72	$9.72	$9.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.59 / $48.46	Facility		$27.03	$31.59	$48.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $26.17 / $29.74	Professional		$11.15	$26.17	$29.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $6.86 / $11.66	Facility		$6.35	$6.86	$11.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $8.75 / $103.00	Facility		$6.35	$8.75	$103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $7.83 / $20.94	Professional		$5.48	$7.83	$20.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $14.58 / $85.00	Professional		$4.86	$14.58	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $6.86 / $11.66	Facility		$6.35	$6.86	$11.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $23.76 / $38.59	Professional		$11.40	$23.76	$38.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $50.00 / $103.00	Facility		$19.44	$50.00	$103.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $4.76 / $7.06	Professional		$4.74	$4.76	$7.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $20.70 / $51.50	Professional		$20.70	$20.70	$51.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $51.50 / $53.07	Professional		$28.45	$51.50	$53.07
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $6.02 / $18.09	Professional		$4.86	$6.02	$18.09