Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $9.24 / $12.60	Facility		$6.60	$9.24	$12.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.23 / $21.62	Professional		$4.51	$5.23	$21.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $14.30 / $15.13	Facility		$11.83	$14.30	$15.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.72 / $22.75	Professional		$2.72	$2.72	$22.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $14.93 / $15.52	Facility		$3.67	$14.93	$15.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $17.89 / $27.46	Facility		$15.32	$17.89	$27.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $14.81 / $16.82	Professional		$6.20	$14.81	$16.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $6.60	Facility		$4.90	$4.90	$6.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $5.17 / $100.00	Facility		$4.51	$5.17	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.50 / $18.01	Professional		$3.30	$5.50	$18.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $10.78 / $85.00	Professional		$2.75	$10.78	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $6.60	Facility		$4.90	$4.90	$6.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $13.46 / $76.87	Professional		$7.43	$13.46	$76.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $11.00 / $100.00	Facility		$11.00	$11.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $3.59 / $5.49	Professional		$2.92	$3.59	$5.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $11.71 / $131.33	Professional		$11.71	$11.71	$131.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $30.03 / $131.33	Professional		$21.91	$30.03	$131.33
United Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $4.40 / $5.50	Facility		$2.75	$4.40	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.50 / $33.00	Professional		$3.30	$5.50	$33.00