Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $2.96 / $2.96	Facility		$2.96	$2.96	$2.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.22 / $4.09	Professional		$2.86	$3.22	$4.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $5.61 / $9.27	Facility		$5.09	$5.61	$9.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.74 / $6.27	Professional		$4.40	$4.74	$6.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.66 / $6.12 / $10.91	Facility		$3.66	$6.12	$10.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.36 / $7.14	Professional		$5.09	$5.36	$7.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $13.52 / $20.99	Facility		$3.06	$13.52	$20.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $7.62 / $9.65	Professional		$2.60	$7.62	$9.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $4.21 / $5.87	Facility		$1.40	$4.21	$5.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $5.01 / $6.12	Professional		$2.92	$5.01	$6.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $5.33 / $80.00	Facility		$2.48	$5.33	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.57 / $5.55	Professional		$2.02	$2.57	$5.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $55.00 / $85.00	Professional		$2.87	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $4.44 / $5.87	Facility		$1.40	$4.44	$5.87
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $5.01 / $6.12	Professional		$2.92	$5.01	$6.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $7.84 / $13.05	Professional		$5.09	$7.84	$13.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $9.96 / $80.00	Facility		$3.06	$9.96	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $3.06 / $25.25	Professional		$2.60	$3.06	$25.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
United Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $2.54 / $5.09	Professional		$1.69	$2.54	$5.09