Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $279.60 / $468.31	Facility		$17.14	$279.60	$468.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $15.67 / $54.15	Professional		$12.67	$15.67	$54.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $23.60 / $44.64	Professional		$15.95	$23.60	$44.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $11.38 / $19.38	Facility		$11.21	$11.38	$19.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $13.46 / $13.46	Professional		$13.46	$13.46	$13.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $50.55 / $77.54	Facility		$43.25	$50.55	$77.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $30.01 / $46.35	Professional		$14.28	$30.01	$46.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $16.39 / $29.82	Facility		$14.81	$16.39	$29.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $17.14 / $35.69	Facility		$14.81	$17.14	$35.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $30.55 / $98.60	Professional		$19.32	$30.55	$98.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $16.39 / $29.82	Facility		$14.81	$16.39	$29.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $33.54 / $48.18	Professional		$17.27	$33.54	$48.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.27 / $31.34 / $80.48	Facility		$30.27	$31.34	$80.48
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $3.03 / $3.13 / $7.27	Facility	AS	$3.03	$3.13	$7.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $70.52 / $98.60	Professional		$14.28	$70.52	$98.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $33.97 / $33.97	Professional		$18.91	$33.97	$33.97
United Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $26.97 / $45.78	Professional		$18.55	$26.97	$45.78