Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $98.28 / $165.20	Facility		$23.25	$98.28	$165.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $15.05 / $20.22	Professional		$13.48	$15.05	$20.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $43.81 / $46.34	Facility		$36.22	$43.81	$46.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $67.40	Professional		$8.32	$8.32	$67.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $45.75 / $47.55	Facility		$12.89	$45.75	$47.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $16.85	Professional		$16.85	$16.85	$16.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $45.38 / $51.56	Professional		$19.41	$45.38	$51.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $20.22	Facility		$15.00	$15.00	$20.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $16.20 / $89.00	Facility		$13.82	$16.20	$89.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $13.18 / $37.44	Professional		$4.79	$13.18	$37.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $25.28 / $85.00	Professional		$8.34	$25.28	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $20.22	Facility		$15.00	$15.00	$20.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $41.18 / $57.20	Professional		$20.59	$41.18	$57.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.70 / $35.78 / $89.00	Facility		$33.70	$35.78	$89.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $11.11 / $16.47	Professional		$8.93	$11.11	$16.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.26 / $35.88	Professional		$10.26	$10.26	$35.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $23.19 / $92.00	Professional		$10.26	$23.19	$92.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $10.11 / $37.44	Professional		$4.87	$10.11	$37.44