Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $77.36 / $222.72	Facility		$13.40	$77.36	$222.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $7.70 / $13.34	Professional		$7.40	$7.70	$13.34
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 $4.20 / $4.20 / $39.65	Professional		$4.20	$4.20	$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 $7.57 / $7.78 / $11.66	Facility		$7.57	$7.78	$11.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $11.55 / $72.90	Facility		$7.57	$11.55	$72.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $9.32 / $24.93	Professional		$5.64	$9.32	$24.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $26.83 / $85.00	Professional		$8.28	$26.83	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $7.78 / $11.66	Facility		$7.57	$7.78	$11.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $23.76 / $55.76	Professional		$11.40	$23.76	$55.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $19.44 / $60.00	Facility		$19.44	$19.44	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $5.55 / $8.36	Professional		$5.15	$5.55	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $20.70 / $21.73	Professional		$20.70	$20.70	$21.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $21.73 / $53.07	Professional		$21.73	$21.73	$53.07
United Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $9.72 / $9.72	Facility		$9.72	$9.72	$9.72
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.17 / $24.93	Professional		$5.00	$7.17	$24.93