Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.75 / $7.30	Professional		$4.37	$5.75	$7.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.89 / $9.89 / $16.32	Facility		$9.89	$9.89	$16.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.89 / $11.27	Professional		$9.19	$9.89	$11.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.89 / $21.16 / $21.16	Facility		$9.89	$21.16	$21.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $29.48 / $39.19	Facility		$25.23	$29.48	$39.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $13.59 / $18.73	Professional		$5.11	$13.59	$18.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $7.44 / $9.89	Facility		$5.26	$7.44	$9.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $5.54 / $9.89	Professional		$5.54	$5.54	$9.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $7.62 / $9.99	Facility		$5.40	$7.62	$9.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.54 / $12.54	Professional		$4.59	$5.54	$12.54
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 $5.26 / $7.44 / $9.89	Facility		$5.26	$7.44	$9.89
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $5.54 / $9.89	Professional		$5.54	$5.54	$9.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $14.84 / $25.00	Professional		$9.89	$14.84	$25.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $20.07 / $80.00	Facility		$19.32	$20.07	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $43.47 / $49.85	Professional		$5.11	$43.47	$49.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $9.89 / $9.89	Professional		$9.89	$9.89	$9.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $9.89 / $9.89	Professional		$9.89	$9.89	$9.89
United Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.94 / $9.18	Professional		$4.21	$4.94	$9.18