Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $25.12	Facility		$12.02	$12.02	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $19.50	Professional		$6.03	$7.94	$19.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.96 / $32.36	Professional		$6.92	$10.96	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.08 / $20.42	Facility		$5.01	$7.08	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.41 / $15.49	Professional		$6.76	$7.41	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.95 / $31.62	Facility		$16.98	$19.95	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.50 / $24.55	Professional		$10.00	$19.50	$24.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10.72 / $23.44	Facility		$6.46	$10.72	$23.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $20.89	Professional		$12.02	$15.85	$20.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $12.30 / $32.36	Facility		$6.46	$12.30	$32.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.45 / $70.79	Professional		$7.59	$14.45	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.60 / $24.55	Professional		$9.12	$16.60	$24.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $165.96 / $165.96	Facility		$15.49	$165.96	$165.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $36.31 / $70.79	Professional		$10.23	$36.31	$70.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $46.77	Professional		$28.84	$41.69	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.48 / $26.30	Professional		$7.08	$11.48	$26.30