Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $52.96 / $78.47	Facility		$15.20	$52.96	$78.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.40 / $4.55	Professional		$2.27	$2.40	$4.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $7.02 / $7.43	Facility		$5.81	$7.02	$7.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $11.18	Professional		$2.00	$2.00	$11.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $7.33 / $7.62	Facility		$1.84	$7.33	$7.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $2.70	Professional		$2.70	$2.70	$2.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $8.42 / $12.92	Facility		$7.21	$8.42	$12.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $7.27 / $8.26	Professional		$2.89	$7.27	$8.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $2.41 / $3.24	Facility		$2.41	$2.41	$3.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $23.52 / $60.00	Facility		$2.41	$23.52	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.70 / $25.18	Professional		$1.62	$2.70	$25.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $7.45 / $85.00	Professional		$1.35	$7.45	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $2.41 / $3.24	Facility		$2.41	$2.41	$3.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $6.34 / $25.24	Professional		$3.30	$6.34	$25.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $5.40 / $60.00	Facility		$5.40	$5.40	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.80 / $2.61	Professional		$1.43	$1.80	$2.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $8.50	Professional		$5.75	$5.75	$8.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $14.74	Professional		$8.50	$8.50	$14.74
United Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $2.23 / $7.92	Professional		$1.57	$2.23	$7.92