Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $30.69 / $43.28	Facility		$4.20	$30.69	$43.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.76 / $9.91	Professional		$2.65	$2.76	$9.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.56 / $7.93 / $8.39	Facility		$6.56	$7.93	$8.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $12.51	Professional		$2.25	$2.25	$12.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $8.27 / $8.61	Facility		$1.80	$8.27	$8.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $3.05 / $3.05	Professional		$3.05	$3.05	$3.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $9.48 / $14.54	Facility		$8.11	$9.48	$14.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $9.11 / $10.35	Professional		$3.30	$9.11	$10.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $2.71 / $3.66	Facility		$2.71	$2.71	$3.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $3.66 / $96.00	Facility		$2.71	$3.66	$96.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $4.18 / $6.99	Professional		$1.83	$4.18	$6.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $5.96 / $85.00	Professional		$1.53	$5.96	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $2.71 / $3.66	Facility		$2.71	$2.71	$3.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $7.13 / $29.85	Professional		$3.73	$7.13	$29.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.10 / $6.10 / $100.00	Facility		$6.10	$6.10	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.96 / $2.87	Professional		$1.62	$1.96	$2.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $9.68	Professional		$6.50	$6.50	$9.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $12.15 / $16.64	Professional		$9.68	$12.15	$16.64
United Facility/Professional Facility Modifier Low / Median / High Price $3.05 / $3.05 / $3.05	Facility		$3.05	$3.05	$3.05
United Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $3.05 / $8.24	Professional		$1.83	$3.05	$8.24