Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $1.63 / $1.63	Facility		$1.63	$1.63	$1.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.63 / $2.14	Professional		$0.85	$1.63	$2.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $4.63	Facility		$2.81	$2.81	$4.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.81 / $3.20	Professional		$2.61	$2.81	$3.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $6.01 / $6.01	Facility		$2.81	$6.01	$6.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $8.42 / $11.20	Facility		$7.21	$8.42	$11.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $4.22 / $5.31	Professional		$1.44	$4.22	$5.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.06 / $2.81	Facility		$1.58	$2.06	$2.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $2.81	Professional		$1.62	$1.62	$2.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $2.27 / $2.93	Facility		$1.59	$2.27	$2.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.52 / $3.55	Professional		$1.31	$1.52	$3.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $58.40 / $85.00	Professional		$1.01	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.27 / $2.81	Facility		$1.58	$2.27	$2.81
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $2.81	Professional		$1.62	$1.62	$2.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $4.22 / $7.00	Professional		$2.81	$4.22	$7.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.48 / $5.70 / $80.00	Facility		$5.48	$5.70	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $12.33 / $13.99	Professional		$1.44	$12.33	$13.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Professional		$2.81	$2.81	$2.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Professional		$2.81	$2.81	$2.81
United Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.40 / $2.34	Professional		$1.18	$1.40	$2.34