Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $107.00 / $228.16	Facility		$19.09	$107.00	$228.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $14.21 / $19.09	Professional		$11.93	$14.21	$19.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.21 / $41.37 / $43.75	Facility		$34.21	$41.37	$43.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $65.83	Professional		$7.86	$7.86	$65.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $43.18 / $44.88	Facility		$12.77	$43.18	$44.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $15.91 / $15.91	Professional		$15.91	$15.91	$15.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $79.15	Facility		$44.15	$51.60	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $42.85 / $48.69	Professional		$18.17	$42.85	$48.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $14.17 / $19.09	Facility		$14.17	$14.17	$19.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $19.09 / $122.79	Facility		$12.73	$19.09	$122.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.91 / $57.23	Professional		$9.55	$15.91	$57.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $31.18 / $85.00	Professional		$7.96	$31.18	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $14.17 / $19.09	Facility		$14.17	$14.17	$19.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $38.81 / $97.50	Professional		$19.44	$38.81	$97.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.82 / $33.79 / $100.00	Facility		$31.82	$33.79	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $10.45 / $15.68	Professional		$8.43	$10.45	$15.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $33.88	Professional		$19.57	$19.57	$33.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $63.41 / $86.87	Professional		$19.57	$63.41	$86.87
United Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $13.09 / $39.36	Professional		$9.23	$13.09	$39.36