Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $70.18 / $122.67	Facility		$18.04	$70.18	$122.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $7.05 / $9.46	Professional		$6.07	$7.05	$9.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $21.03 / $22.25	Facility		$17.39	$21.03	$22.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $33.47	Professional		$4.00	$4.00	$33.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $21.97 / $22.83	Facility		$6.17	$21.97	$22.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $8.09	Professional		$8.09	$8.09	$8.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $40.38	Facility		$22.53	$26.33	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $21.78 / $24.75	Professional		$9.50	$21.78	$24.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $7.21 / $9.71	Facility		$7.21	$7.21	$9.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $31.44 / $100.00	Facility		$7.21	$31.44	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $8.09 / $22.41	Professional		$4.69	$8.09	$22.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $15.87 / $85.00	Professional		$4.05	$15.87	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $7.21 / $9.71	Facility		$7.21	$7.21	$9.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $19.80 / $57.99	Professional		$10.92	$19.80	$57.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $16.18 / $100.00	Facility		$16.18	$16.18	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.39 / $7.84	Professional		$4.29	$5.39	$7.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $17.23	Professional		$13.39	$13.39	$17.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $44.17	Professional		$13.39	$13.39	$44.17
United Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $6.68 / $22.41	Professional		$4.05	$6.68	$22.41