Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $45.68 / $96.00	Facility		$8.11	$45.68	$96.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $6.80 / $36.86	Professional		$4.82	$6.80	$36.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $15.29 / $16.17	Facility		$12.64	$15.29	$16.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $24.33	Professional		$2.90	$2.90	$24.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $15.98 / $16.61	Facility		$4.49	$15.98	$16.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $5.88 / $5.88	Professional		$5.88	$5.88	$5.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.95 / $29.08	Facility		$16.22	$18.95	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $15.83 / $17.98	Professional		$6.61	$15.83	$17.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $5.24 / $7.06	Facility		$5.24	$5.24	$7.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $5.66 / $100.00	Facility		$5.24	$5.66	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $5.88 / $16.29	Professional		$3.53	$5.88	$16.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $16.23 / $85.00	Professional		$2.94	$16.23	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $5.24 / $7.06	Facility		$5.24	$5.24	$7.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $14.26 / $70.29	Professional		$7.19	$14.26	$70.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $11.76 / $100.00	Facility		$11.76	$11.76	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.92 / $5.75	Professional		$3.12	$3.92	$5.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $12.52	Professional		$6.05	$6.05	$12.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $23.45 / $32.10	Professional		$6.05	$23.45	$32.10
United Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $4.93 / $16.11	Professional		$3.41	$4.93	$16.11