Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $1.84 / $1.84	Facility		$1.84	$1.84	$1.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $1.84 / $2.67	Professional		$1.79	$1.84	$2.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.48 / $5.75	Facility		$3.16	$3.48	$5.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $2.94 / $3.88	Professional		$2.84	$2.94	$3.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $6.76 / $6.76	Facility		$2.27	$6.76	$6.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $10.00 / $14.00	Facility		$1.99	$10.00	$14.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $4.76 / $5.99	Professional		$1.69	$4.76	$5.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $2.74 / $3.63	Facility		$0.90	$2.74	$3.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $3.16 / $3.79	Professional		$1.89	$3.16	$3.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $3.31 / $80.00	Facility		$1.61	$3.31	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.65 / $3.44	Professional		$1.31	$1.65	$3.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $55.00 / $85.00	Professional		$1.41	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $2.76 / $3.63	Facility		$0.90	$2.76	$3.63
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $3.16 / $3.79	Professional		$1.89	$3.16	$3.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.97 / $8.02	Professional		$3.16	$4.97	$8.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $6.18 / $80.00	Facility		$1.99	$6.18	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.99 / $19.44	Professional		$1.69	$1.99	$19.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $3.16	Professional		$3.16	$3.16	$3.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $3.16	Professional		$3.16	$3.16	$3.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.58 / $2.71	Professional		$1.10	$1.58	$2.71