Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.96 / $89.35 / $167.86	Facility		$26.96	$89.35	$167.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $10.54 / $14.46	Professional		$9.07	$10.54	$14.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.99 / $31.43 / $33.25	Facility		$25.99	$31.43	$33.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $5.97 / $49.32	Professional		$5.97	$5.97	$49.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $32.82 / $34.11	Facility		$9.69	$32.82	$34.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $12.09	Professional		$12.09	$12.09	$12.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $32.56 / $37.00	Professional		$13.63	$32.56	$37.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $10.77 / $14.51	Facility		$10.77	$10.77	$14.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $53.95 / $147.60	Facility		$10.77	$53.95	$147.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $12.09 / $74.61	Professional		$7.01	$12.09	$74.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $20.44 / $85.00	Professional		$6.05	$20.44	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $10.77 / $14.51	Facility		$10.77	$10.77	$14.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $29.30 / $116.18	Professional		$14.77	$29.30	$116.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $28.81 / $100.00	Facility		$24.18	$28.81	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $8.00 / $11.76	Professional		$6.41	$8.00	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $25.75 / $31.72	Professional		$25.75	$25.75	$31.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $41.53 / $66.01	Professional		$31.72	$41.53	$66.01
United Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $9.67 / $30.58	Professional		$7.01	$9.67	$30.58