Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $83.60 / $262.45	Facility		$10.07	$83.60	$262.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.52 / $8.02	Professional		$5.62	$6.52	$8.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $18.98 / $20.07	Facility		$15.70	$18.98	$20.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $30.20	Professional		$3.60	$3.60	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $19.82 / $20.60	Facility		$5.86	$19.82	$20.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $7.30 / $7.30	Professional		$7.30	$7.30	$7.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $23.17 / $35.54	Facility		$19.82	$23.17	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $19.66 / $22.34	Professional		$8.67	$19.66	$22.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $6.50 / $8.76	Facility		$6.50	$6.50	$8.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $7.03 / $100.00	Facility		$5.99	$7.03	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $7.30 / $20.22	Professional		$4.28	$7.30	$20.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $14.31 / $85.00	Professional		$3.65	$14.31	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $6.50 / $8.76	Facility		$6.50	$6.50	$8.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $18.22 / $69.19	Professional		$8.92	$18.22	$69.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $17.39 / $100.00	Facility		$14.60	$17.39	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $4.74 / $7.06	Professional		$3.87	$4.74	$7.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $15.55 / $24.41	Professional		$15.55	$15.55	$24.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $24.41 / $39.86	Professional		$24.41	$24.41	$39.86
United Facility/Professional Facility Modifier Low / Median / High Price $7.30 / $7.30 / $7.30	Facility		$7.30	$7.30	$7.30
United Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $6.01 / $20.01	Professional		$3.65	$6.01	$20.01