Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $42.40 / $88.88	Facility		$6.00	$42.40	$88.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.93 / $7.38	Professional		$3.78	$3.93	$7.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $11.31 / $11.96	Facility		$9.35	$11.31	$11.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $18.64	Professional		$3.22	$3.22	$18.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $11.83 / $12.29	Facility		$2.90	$11.83	$12.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $4.34 / $4.34	Professional		$4.34	$4.34	$4.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $13.69 / $21.00	Facility		$11.71	$13.69	$21.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $11.72 / $13.31	Professional		$4.96	$11.72	$13.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $3.88 / $5.22	Facility		$3.88	$3.88	$5.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $5.22 / $100.00	Facility		$3.88	$5.22	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.34 / $14.24	Professional		$2.54	$4.34	$14.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $8.97 / $85.00	Professional		$2.18	$8.97	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $3.88 / $5.22	Facility		$3.88	$3.88	$5.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $10.30 / $50.50	Professional		$5.32	$10.30	$50.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $8.69 / $100.00	Facility		$8.69	$8.69	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.94 / $4.18	Professional		$2.31	$2.94	$4.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $9.26	Professional		$6.08	$6.08	$9.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $23.75	Professional		$6.08	$6.08	$23.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.58 / $11.92	Professional		$2.48	$3.58	$11.92