Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.30 / $94.86 / $251.62	Facility		$50.30	$94.86	$251.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $7.54 / $10.64	Professional		$6.06	$7.54	$10.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $22.49 / $23.79	Facility		$18.60	$22.49	$23.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $35.79	Professional		$4.26	$4.26	$35.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $23.48 / $24.41	Facility		$6.60	$23.48	$24.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $8.65 / $8.65	Professional		$8.65	$8.65	$8.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $27.38 / $42.00	Facility		$23.43	$27.38	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $23.30 / $26.48	Professional		$9.91	$23.30	$26.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $7.70 / $10.38	Facility		$7.70	$7.70	$10.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $74.29 / $118.83	Facility		$7.70	$74.29	$118.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $8.65 / $25.37	Professional		$5.19	$8.65	$25.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $16.95 / $85.00	Professional		$4.33	$16.95	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $7.70 / $10.38	Facility		$7.70	$7.70	$10.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $21.38 / $79.70	Professional		$10.57	$21.38	$79.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $100.00	Facility		$17.30	$17.30	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $5.72 / $8.36	Professional		$4.58	$5.72	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $11.64 / $18.42	Professional		$11.64	$11.64	$18.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $36.29 / $47.23	Professional		$11.64	$36.29	$47.23
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.06 / $23.71	Professional		$5.01	$7.06	$23.71