Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $15.65 / $72.77	Facility		$6.31	$15.65	$72.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.43 / $38.00	Professional		$6.31	$12.43	$38.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $14.13 / $21.02	Professional		$12.70	$14.13	$21.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $10.90 / $24.50	Facility		$9.91	$10.90	$24.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Professional		$14.70	$14.70	$14.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $37.00 / $51.78	Facility		$21.12	$37.00	$51.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $15.94 / $21.12	Professional		$12.75	$15.94	$21.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $9.47 / $14.66	Facility		$6.11	$9.47	$14.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $10.42 / $10.42	Professional		$10.42	$10.42	$10.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $13.74 / $90.00	Facility		$6.31	$13.74	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $9.61 / $15.95	Professional		$7.25	$9.61	$15.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $55.00 / $85.00	Professional		$16.17	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $9.47 / $14.66	Facility		$6.11	$9.47	$14.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $10.42 / $10.42	Professional		$10.42	$10.42	$10.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $29.19 / $37.90	Professional		$15.90	$29.19	$37.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $23.58 / $90.00	Facility		$21.12	$23.58	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $21.12 / $86.59	Professional		$15.42	$21.12	$86.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $36.00	Professional		$32.40	$32.40	$36.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $8.18 / $9.67	Facility		$7.55	$8.18	$9.67
United Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $9.35 / $14.21	Professional		$5.81	$9.35	$14.21