Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $21.51 / $25.33	Facility		$11.36	$21.51	$25.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $15.16 / $7,467.00	Professional		$11.04	$15.16	$7,467.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.42 / $24.62	Facility		$13.80	$20.42	$24.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $14.02	Professional		$11.04	$11.04	$14.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $15.12 / $17.66	Facility		$15.12	$15.12	$17.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $14.06 / $30.92	Facility		$11.04	$14.06	$30.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $19.25 / $21.88	Professional		$11.04	$19.25	$21.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $11.03 / $24.23	Facility		$11.03	$11.03	$24.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $22.08 / $22.08	Professional		$16.55	$22.08	$22.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $11.03 / $24.23	Facility		$11.03	$11.03	$24.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $22.08	Professional		$11.03	$11.03	$22.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $65.00 / $85.00	Professional		$10.77	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $11.03 / $24.23	Facility		$11.03	$11.03	$24.23
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $22.08 / $22.08	Professional		$16.55	$22.08	$22.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $16.69 / $36.29	Professional		$11.03	$16.69	$36.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $11.04 / $95.00	Facility		$11.04	$11.04	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $11.04	Professional		$11.04	$11.04	$11.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $15.50 / $36.90	Professional		$15.50	$15.50	$36.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $16.55	Professional		$11.04	$11.04	$16.55