Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.18 / $42.25 / $50.88	Facility		$6.18	$42.25	$50.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $4.26 / $27.55	Professional		$3.99	$4.26	$27.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $11.65 / $12.32	Facility		$9.63	$11.65	$12.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $18.53	Professional		$2.21	$2.21	$18.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $12.15 / $12.62	Facility		$2.99	$12.15	$12.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $4.48 / $4.48	Professional		$4.48	$4.48	$4.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $14.74 / $22.62	Facility		$12.62	$14.74	$22.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $12.07 / $13.71	Professional		$5.37	$12.07	$13.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $5.38	Facility		$3.98	$3.98	$5.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $5.73 / $72.63	Facility		$3.98	$5.73	$72.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.48 / $12.41	Professional		$2.69	$4.48	$12.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $8.76 / $85.00	Professional		$2.24	$8.76	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $5.38	Facility		$3.98	$3.98	$5.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $11.09 / $15.40	Professional		$5.47	$11.09	$15.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $8.96 / $80.00	Facility		$8.96	$8.96	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.94 / $4.44	Professional		$2.37	$2.94	$4.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $8.96 / $9.53	Professional		$8.96	$8.96	$9.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $21.22 / $24.46	Professional		$8.96	$21.22	$24.46
United Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $4.48 / $4.48	Facility		$4.48	$4.48	$4.48
United Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $4.48 / $14.67	Professional		$2.60	$4.48	$14.67