Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $82.45 / $132.16	Facility		$14.16	$82.45	$132.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.42 / $11.33	Professional		$8.02	$8.42	$11.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $24.54 / $25.96	Facility		$20.30	$24.54	$25.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $4.66 / $39.06	Professional		$4.66	$4.66	$39.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $25.64 / $26.64	Facility		$7.20	$25.64	$26.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $9.44	Professional		$9.44	$9.44	$9.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $30.54 / $46.85	Facility		$26.13	$30.54	$46.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $25.42 / $28.89	Professional		$10.74	$25.42	$28.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $8.40 / $11.33	Facility		$8.40	$8.40	$11.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $9.08 / $100.00	Facility		$8.40	$9.08	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $9.44 / $26.15	Professional		$5.54	$9.44	$26.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $18.49 / $85.00	Professional		$4.72	$18.49	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $8.40 / $11.33	Facility		$8.40	$8.40	$11.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $22.97 / $92.92	Professional		$11.54	$22.97	$92.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $19.41 / $100.00	Facility		$18.88	$19.41	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.21 / $9.15	Professional		$5.00	$6.21	$9.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $16.48 / $20.10	Professional		$16.48	$16.48	$20.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $44.77 / $51.54	Professional		$16.48	$44.77	$51.54
United Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $9.44 / $9.44	Facility		$9.44	$9.44	$9.44
United Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $7.77 / $23.35	Professional		$5.48	$7.77	$23.35