Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $16.92 / $33.84	Facility		$3.34	$16.92	$33.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.34 / $4.84	Professional		$3.22	$3.34	$4.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $11.36 / $23.53	Professional		$5.77	$11.36	$23.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $6.51 / $7.52	Facility		$5.01	$6.51	$7.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $6.80 / $10.98	Professional		$5.32	$6.80	$10.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $17.89 / $23.79	Facility		$15.32	$17.89	$23.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $7.97 / $11.74	Professional		$1.30	$7.97	$11.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $4.61 / $10.39	Facility		$3.34	$4.61	$10.39
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $4.54	Professional		$4.54	$4.54	$4.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $4.61 / $11.31	Facility		$3.22	$4.61	$11.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $4.34 / $44.16	Professional		$3.33	$4.34	$44.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $4.61 / $10.39	Facility		$3.34	$4.61	$10.39
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $4.54	Professional		$4.54	$4.54	$4.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $13.11 / $17.41	Professional		$6.29	$13.11	$17.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.92 / $90.00	Facility		$10.68	$10.92	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $29.10 / $44.16	Professional		$1.30	$29.10	$44.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $9.18 / $10.58	Professional		$9.18	$9.18	$10.58
United Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $3.50 / $6.47	Professional		$2.46	$3.50	$6.47