Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $60.21 / $212.85	Facility		$13.02	$60.21	$212.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.49 / $24.69	Professional		$8.22	$8.49	$24.69
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 $5.93 / $25.64 / $26.64	Facility		$5.93	$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 $7.55 / $8.86 / $60.00	Facility		$7.55	$8.86	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $7.97 / $26.15	Professional		$5.54	$7.97	$26.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $33.28 / $85.00	Professional		$4.72	$33.28	$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 / $36.72	Professional		$11.54	$22.97	$36.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $19.41 / $60.00	Facility		$18.88	$19.41	$60.00
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 $20.10 / $20.10 / $23.69	Professional		$20.10	$20.10	$23.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $23.69 / $51.54	Professional		$23.69	$23.69	$51.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $7.97 / $21.20	Professional		$5.48	$7.97	$21.20