Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.64 / $30.15	Facility		$16.22	$18.64	$30.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $15.63 / $53.14	Professional		$11.63	$15.63	$53.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $35.15 / $37.18	Facility		$29.07	$35.15	$37.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.68 / $55.94	Professional		$6.68	$6.68	$55.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $36.71 / $38.15	Facility		$10.85	$36.71	$38.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $13.52 / $13.52	Professional		$13.52	$13.52	$13.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $36.40 / $41.38	Professional		$15.69	$36.40	$41.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $12.05 / $16.22	Facility		$12.05	$12.05	$16.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $12.71 / $81.00	Facility		$11.09	$12.71	$81.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $13.52 / $37.45	Professional		$7.93	$13.52	$37.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $37.32 / $85.00	Professional		$6.76	$37.32	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $12.05 / $16.22	Facility		$12.05	$12.05	$16.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $33.26 / $83.70	Professional		$16.52	$33.26	$83.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.04 / $28.73 / $81.00	Facility		$27.04	$28.73	$81.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $8.98 / $13.33	Professional		$7.17	$8.98	$13.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $28.79 / $114.26	Professional		$28.79	$28.79	$114.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $73.81 / $114.26	Professional		$48.40	$73.81	$114.26
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $10.82 / $13.52	Facility		$6.76	$10.82	$13.52
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $11.12 / $37.04	Professional		$6.76	$11.12	$37.04