Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $8.58 / $12.76	Facility		$6.86	$8.58	$12.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.43 / $22.51	Professional		$4.69	$5.43	$22.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.87 / $15.73	Facility		$12.30	$14.87	$15.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $2.83 / $23.67	Professional		$2.83	$2.83	$23.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $15.54 / $16.14	Facility		$3.90	$15.54	$16.14
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 $6.61 / $15.40 / $17.50	Professional		$6.61	$15.40	$17.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $5.09 / $6.86	Facility		$5.09	$5.09	$6.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $5.15 / $60.00	Facility		$4.69	$5.15	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $5.72 / $15.84	Professional		$3.43	$5.72	$15.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $11.22 / $85.00	Professional		$2.86	$11.22	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $5.09 / $6.86	Facility		$5.09	$5.09	$6.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $14.26 / $47.68	Professional		$7.00	$14.26	$47.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.44 / $50.00 / $60.00	Facility		$11.44	$50.00	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $3.76 / $5.49	Professional		$3.03	$3.76	$5.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $12.18	Professional		$5.89	$5.89	$12.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $28.80 / $31.23	Professional		$5.89	$28.80	$31.23
United Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $1.89 / $5.72	Facility		$1.89	$1.89	$5.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $4.84 / $15.68	Professional		$3.32	$4.84	$15.68