Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $18.05 / $184.77	Facility		$8.47	$18.05	$184.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.30 / $11.28	Professional		$8.22	$8.30	$11.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $10.28 / $10.28	Facility		$10.28	$10.28	$10.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $12.33 / $14.79	Professional		$8.22	$12.33	$14.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $11.51 / $15.07	Facility		$7.86	$11.51	$15.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $8.22 / $19.05	Professional		$7.86	$8.22	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $12.45 / $22.84	Facility		$8.22	$12.45	$22.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $9.36 / $15.16	Professional		$8.22	$9.36	$15.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $8.22 / $25.50	Facility		$4.84	$8.22	$25.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $16.44 / $16.44	Professional		$5.34	$16.44	$16.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $7.86 / $25.50	Facility		$4.84	$7.86	$25.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $8.75 / $104.94	Professional		$7.86	$8.75	$104.94
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 $4.84 / $8.22 / $25.50	Facility		$4.84	$8.22	$25.50
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $16.44 / $16.44	Professional		$5.34	$16.44	$16.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $9.40 / $26.00	Professional		$8.22	$9.40	$26.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $85.00 / $100.00	Facility		$8.22	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $15.33 / $104.94	Professional		$8.22	$15.33	$104.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $7.86	Professional		$7.86	$7.86	$7.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $11.54 / $11.54	Professional		$6.18	$11.54	$11.54
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.47 / $10.36	Professional		$8.22	$8.47	$10.36