Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $66.40 / $106.56	Facility		$14.00	$66.40	$106.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.87 / $7.62	Professional		$3.72	$3.87	$7.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $11.10 / $11.74	Facility		$9.18	$11.10	$11.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $17.66	Professional		$2.11	$2.11	$17.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $11.61 / $12.07	Facility		$3.26	$11.61	$12.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Professional		$4.26	$4.26	$4.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $13.69 / $21.00	Facility		$11.71	$13.69	$21.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $11.50 / $13.06	Professional		$4.96	$11.50	$13.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $5.12	Facility		$3.80	$3.80	$5.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $31.10 / $80.11	Facility		$3.80	$31.10	$80.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.26 / $11.83	Professional		$2.56	$4.26	$11.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $8.37 / $85.00	Professional		$2.14	$8.37	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $5.12	Facility		$3.80	$3.80	$5.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $10.30 / $36.04	Professional		$5.23	$10.30	$36.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $8.53 / $100.00	Facility		$8.53	$8.53	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.78 / $4.18	Professional		$2.25	$2.78	$4.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $9.09 / $10.30	Professional		$9.09	$9.09	$10.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $20.57 / $23.31	Professional		$10.30	$20.57	$23.31
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $10.31	Facility		$3.80	$3.80	$10.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.58 / $13.98	Professional		$2.50	$3.58	$13.98