Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $38.99 / $99.60	Facility		$6.55	$38.99	$99.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $4.47 / $14.00	Professional		$3.66	$4.47	$14.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.21 / $12.35 / $13.06	Facility		$10.21	$12.35	$13.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $19.66	Professional		$2.34	$2.34	$19.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $12.88 / $13.39	Facility		$3.62	$12.88	$13.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $15.80 / $24.23	Facility		$13.52	$15.80	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $12.79 / $14.54	Professional		$5.78	$12.79	$14.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $5.70	Facility		$4.23	$4.23	$5.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $5.70 / $60.00	Facility		$4.23	$5.70	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $4.75 / $13.16	Professional		$2.85	$4.75	$13.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $9.31 / $85.00	Professional		$2.38	$9.31	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $5.70	Facility		$4.23	$4.23	$5.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $11.88 / $26.09	Professional		$5.80	$11.88	$26.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $9.50 / $60.00	Facility		$9.50	$9.50	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.10 / $4.70	Professional		$2.52	$3.10	$4.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $19.05	Professional		$10.11	$10.11	$19.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $25.94	Professional		$19.05	$19.05	$25.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $3.98 / $13.02	Professional		$2.76	$3.98	$13.02