Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $131.10 / $287.30	Facility		$16.89	$131.10	$287.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.05 / $29.51	Professional		$8.32	$10.05	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $29.28 / $30.97	Facility		$24.21	$29.28	$30.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.56 / $46.59	Professional		$5.56	$5.56	$46.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $30.58 / $31.78	Facility		$9.03	$30.58	$31.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $11.26 / $11.26	Professional		$11.26	$11.26	$11.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $35.79 / $54.92	Facility		$30.64	$35.79	$54.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $30.32 / $34.45	Professional		$13.22	$30.32	$34.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $10.02 / $13.51	Facility		$10.02	$10.02	$13.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $13.51 / $100.93	Facility		$10.02	$13.51	$100.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $11.26 / $31.19	Professional		$6.76	$11.26	$31.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $31.08 / $85.00	Professional		$5.63	$31.08	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $10.02 / $13.51	Facility		$10.02	$10.02	$13.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $27.72 / $56.28	Professional		$13.76	$27.72	$56.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $23.91 / $60.00	Facility		$22.52	$23.91	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $7.35 / $10.98	Professional		$5.97	$7.35	$10.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $23.98 / $30.33	Professional		$23.98	$23.98	$30.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $30.33 / $61.48	Professional		$30.33	$30.33	$61.48
United Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $11.26 / $11.26	Facility		$11.26	$11.26	$11.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $9.44 / $30.86	Professional		$6.53	$9.44	$30.86