Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $5.38 / $5.38	Facility		$5.38	$5.38	$5.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $5.75 / $21.00	Professional		$3.26	$5.75	$21.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $10.19 / $16.87	Facility		$9.27	$10.19	$16.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $8.61 / $11.40	Professional		$8.34	$8.61	$11.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $19.84 / $19.84	Facility		$6.66	$19.84	$19.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $24.33 / $37.79	Facility		$5.57	$24.33	$37.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $13.34 / $17.54	Professional		$4.73	$13.34	$17.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $8.02 / $10.66	Facility		$2.54	$8.02	$10.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $9.14 / $11.12	Professional		$5.30	$9.14	$11.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $9.27 / $80.00	Facility		$4.51	$9.27	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $5.24 / $10.74	Professional		$3.74	$5.24	$10.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $8.07 / $10.66	Facility		$2.54	$8.07	$10.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $9.14 / $11.12	Professional		$5.30	$9.14	$11.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $14.26 / $23.09	Professional		$9.27	$14.26	$23.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $18.10 / $80.00	Facility		$5.57	$18.10	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $5.57 / $46.16	Professional		$4.73	$5.57	$46.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Professional		$9.27	$9.27	$9.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Professional		$9.27	$9.27	$9.27
United Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $4.62 / $9.14	Professional		$3.28	$4.62	$9.14