Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.77 / $54.87 / $68.56	Facility		$7.77	$54.87	$68.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $4.68 / $20.32	Professional		$4.62	$4.68	$20.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $13.47 / $14.25	Facility		$11.14	$13.47	$14.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $21.43	Professional		$2.56	$2.56	$21.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $14.05 / $14.61	Facility		$3.95	$14.05	$14.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $5.18	Professional		$5.18	$5.18	$5.18
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 $5.78 / $13.95 / $15.85	Professional		$5.78	$13.95	$15.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $6.22	Facility		$4.61	$4.61	$6.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $5.18 / $100.00	Facility		$4.61	$5.18	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $5.18 / $14.35	Professional		$3.04	$5.18	$14.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $10.14 / $85.00	Professional		$2.59	$10.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $6.22	Facility		$4.61	$4.61	$6.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $12.67 / $99.29	Professional		$6.99	$12.67	$99.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $10.36 / $100.00	Facility		$10.36	$10.36	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.43 / $4.97	Professional		$2.75	$3.43	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $11.03	Professional		$6.43	$6.43	$11.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $28.28	Professional		$6.43	$6.43	$28.28
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.37 / $15.18	Professional		$3.00	$4.37	$15.18