Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $90.20 / $209.50	Facility		$7.44	$90.20	$209.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $6.21 / $34.65	Professional		$4.69	$6.21	$34.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $14.01 / $14.82	Facility		$11.59	$14.01	$14.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $2.66 / $21.99	Professional		$2.66	$2.66	$21.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.68 / $14.64 / $15.21	Facility		$3.68	$14.64	$15.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $5.39	Professional		$5.39	$5.39	$5.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $16.85 / $25.85	Facility		$14.42	$16.85	$25.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $14.51 / $16.48	Professional		$6.20	$14.51	$16.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $6.47	Facility		$4.79	$4.79	$6.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $5.39 / $62.48	Facility		$4.79	$5.39	$62.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $4.72 / $12.60	Professional		$3.14	$4.72	$12.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $8.41 / $85.00	Professional		$2.70	$8.41	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $6.47	Facility		$4.79	$4.79	$6.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $13.46 / $32.94	Professional		$6.59	$13.46	$32.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $60.00	Facility		$10.78	$10.78	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.59 / $5.23	Professional		$2.86	$3.59	$5.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $11.48	Professional		$11.23	$11.23	$11.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $21.70 / $29.43	Professional		$11.23	$21.70	$29.43
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $4.30 / $12.60	Professional		$2.70	$4.30	$12.60