Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Facility		$2.40	$2.40	$2.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.61 / $3.90	Professional		$2.31	$2.61	$3.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $4.53 / $7.50	Facility		$4.12	$4.53	$7.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.83 / $5.05	Professional		$3.70	$3.83	$5.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.97 / $5.32 / $8.82	Facility		$2.97	$5.32	$8.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.75 / $6.20	Professional		$4.51	$4.75	$6.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $12.62 / $19.59	Facility		$2.92	$12.62	$19.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $6.88 / $7.81	Professional		$2.48	$6.88	$7.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $3.58 / $4.75	Facility		$1.32	$3.58	$4.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $4.12 / $4.94	Professional		$2.35	$4.12	$4.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $4.75 / $80.00	Facility		$2.35	$4.75	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $2.37 / $4.76	Professional		$1.89	$2.37	$4.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $55.00 / $85.00	Professional		$2.43	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $3.60 / $4.94	Facility		$1.32	$3.60	$4.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $4.12 / $4.94	Professional		$2.35	$4.12	$4.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $7.13 / $12.04	Professional		$4.12	$7.13	$12.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $8.06 / $80.00	Facility		$2.92	$8.06	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.92 / $24.15	Professional		$2.48	$2.92	$24.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.12 / $4.12	Professional		$4.12	$4.12	$4.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.12 / $4.12	Professional		$4.12	$4.12	$4.12
United Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $2.23 / $4.50	Professional		$1.61	$2.23	$4.50