Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $5.37 / $7.98	Facility		$4.30	$5.37	$7.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $3.40 / $23.02	Professional		$2.94	$3.40	$23.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $9.31 / $9.85	Facility		$7.70	$9.31	$9.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $1.77 / $16.57	Professional		$1.77	$1.77	$16.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $9.73 / $10.11	Facility		$2.40	$9.73	$10.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $11.58 / $17.77	Facility		$9.91	$11.58	$17.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $9.64 / $10.95	Professional		$4.13	$9.64	$10.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $1.90 / $4.30	Facility		$1.90	$1.90	$4.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $2.94 / $80.00	Facility		$1.90	$2.94	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $4.94 / $22.74	Professional		$2.15	$4.94	$22.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $31.13 / $85.00	Professional		$1.79	$31.13	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $1.90 / $4.30	Facility		$1.90	$1.90	$4.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $8.71 / $14.37	Professional		$4.38	$8.71	$14.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.16 / $7.16 / $80.00	Facility		$7.16	$7.16	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $1.90 / $10.45	Professional		$1.90	$1.90	$10.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $7.62 / $16.34	Professional		$7.62	$7.62	$16.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $16.34 / $63.33	Professional		$16.34	$16.34	$63.33
United Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $3.58 / $11.99	Facility		$1.79	$3.58	$11.99
United Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $3.58 / $17.43	Professional		$2.08	$3.58	$17.43