Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $29.21 / $96.56	Facility		$15.72	$29.21	$96.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $15.72 / $62.00	Professional		$10.74	$15.72	$62.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $34.06 / $36.03	Facility		$28.17	$34.06	$36.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $8.88 / $54.20	Professional		$8.88	$8.88	$54.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $32.54 / $33.83	Facility		$10.02	$32.54	$33.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.10 / $13.10	Professional		$13.10	$13.10	$13.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $35.28 / $40.09	Professional		$14.87	$35.28	$40.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $10.31 / $15.72	Facility		$10.31	$10.31	$15.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $10.74 / $80.00	Facility		$10.31	$10.74	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $13.10 / $35.20	Professional		$7.86	$13.10	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $23.51 / $85.00	Professional		$6.55	$23.51	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $10.31 / $15.72	Facility		$10.31	$10.31	$15.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $31.68 / $53.13	Professional		$15.20	$31.68	$53.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.20 / $26.20 / $80.00	Facility		$26.20	$26.20	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $7.84 / $11.67	Professional		$6.94	$7.84	$11.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $17.26 / $27.90	Professional		$17.26	$17.26	$27.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $17.26 / $71.53	Professional		$17.26	$17.26	$71.53
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $10.48 / $35.20	Professional		$7.19	$10.48	$35.20