Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $34.85 / $80.39	Facility		$5.88	$34.85	$80.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.53 / $9.86	Professional		$3.39	$3.53	$9.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $10.19 / $10.78	Facility		$8.43	$10.19	$10.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $16.13	Professional		$2.90	$2.90	$16.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $10.66 / $11.07	Facility		$2.62	$10.66	$11.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $3.92 / $3.92	Professional		$3.92	$3.92	$3.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $12.64 / $19.38	Facility		$10.81	$12.64	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $11.70 / $13.30	Professional		$4.54	$11.70	$13.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $4.70	Facility		$3.49	$3.49	$4.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.21 / $3.92 / $100.00	Facility		$3.21	$3.92	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $4.70 / $10.58	Professional		$2.35	$4.70	$10.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $7.68 / $85.00	Professional		$1.96	$7.68	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $4.70	Facility		$3.49	$3.49	$4.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $9.50 / $57.09	Professional		$4.80	$9.50	$57.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.84 / $7.84 / $100.00	Facility		$7.84	$7.84	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.61 / $3.92	Professional		$2.08	$2.61	$3.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $8.35	Professional		$6.08	$6.08	$8.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $19.79 / $21.40	Professional		$6.08	$19.79	$21.40
United Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $2.96 / $3.14	Facility		$2.96	$2.96	$3.14
United Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.92 / $10.58	Professional		$2.35	$3.92	$10.58