Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $302.66 / $840.00	Facility		$11.64	$302.66	$840.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $69.92 / $203.39	Professional		$9.02	$69.92	$203.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.57 / $14.36	Facility		$11.22	$13.57	$14.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $2.96 / $21.29	Professional		$2.96	$2.96	$21.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $14.18 / $14.73	Facility		$4.19	$14.18	$14.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $5.22 / $5.22	Professional		$5.22	$5.22	$5.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $16.85 / $25.85	Facility		$14.42	$16.85	$25.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $14.06 / $15.98	Professional		$5.78	$14.06	$15.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $4.65 / $6.26	Facility		$4.65	$4.65	$6.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $21.18 / $67.56	Facility		$4.65	$21.18	$67.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $4.54 / $17.07	Professional		$2.67	$4.54	$17.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $11.46 / $85.00	Professional		$2.58	$11.46	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $4.65 / $6.26	Facility		$4.65	$4.65	$6.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $12.67 / $256.95	Professional		$6.38	$12.67	$256.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $12.44 / $134.53	Facility		$10.44	$12.44	$134.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $3.43 / $5.23	Professional		$2.77	$3.43	$5.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $11.12 / $15.45	Professional		$11.12	$11.12	$15.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $15.45 / $28.50	Professional		$15.38	$15.45	$28.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $4.45 / $14.31	Professional		$2.61	$4.45	$14.31