Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $43.71 / $224.32	Facility		$23.52	$43.71	$224.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $23.42 / $33.17	Professional		$16.07	$23.42	$33.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $50.96 / $53.90	Facility		$42.14	$50.96	$53.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $9.68 / $81.09	Professional		$9.68	$9.68	$81.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $53.21 / $55.30	Facility		$14.18	$53.21	$55.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $63.18 / $96.92	Facility		$54.07	$63.18	$96.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $52.78 / $59.98	Professional		$22.72	$52.78	$59.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $17.45 / $23.52	Facility		$17.45	$17.45	$23.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $17.64 / $100.00	Facility		$16.07	$17.64	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $19.60 / $54.29	Professional		$11.76	$19.60	$54.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $55.00 / $85.00	Professional		$9.69	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $17.45 / $23.52	Facility		$17.45	$17.45	$23.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $48.31 / $98.81	Professional		$23.95	$48.31	$98.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.20 / $39.20 / $100.00	Facility		$39.20	$39.20	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $12.90 / $19.07	Professional		$10.39	$12.90	$19.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $41.74 / $45.32	Professional		$41.74	$41.74	$45.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $45.32 / $107.02	Professional		$45.32	$45.32	$107.02
United Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $16.16 / $53.71	Professional		$11.37	$16.16	$53.71