Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $28.60 / $77.02	Facility		$10.74	$28.60	$77.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $6.38 / $10.68	Professional		$5.45	$6.38	$10.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $20.23 / $21.40	Facility		$16.73	$20.23	$21.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $31.74	Professional		$3.11	$3.11	$31.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $19.01 / $19.76	Facility		$5.05	$19.01	$19.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $7.78 / $7.78	Professional		$7.78	$7.78	$7.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $25.27 / $38.77	Facility		$21.63	$25.27	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $20.96 / $23.81	Professional		$9.09	$20.96	$23.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.98 / $9.34	Facility		$4.61	$4.98	$9.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $7.00 / $100.00	Facility		$4.61	$7.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $7.10 / $15.18	Professional		$4.23	$7.10	$15.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $18.26 / $85.00	Professional		$3.89	$18.26	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.98 / $9.34	Facility		$4.61	$4.98	$9.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $19.01 / $44.56	Professional		$9.11	$19.01	$44.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $15.56 / $100.00	Facility		$15.56	$15.56	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $3.47 / $4.97	Professional		$3.43	$3.47	$4.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $16.57	Professional		$8.24	$8.24	$16.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $20.63 / $42.48	Professional		$8.24	$20.63	$42.48
United Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $6.22 / $14.48	Professional		$4.20	$6.22	$14.48