Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $3.48 / $3.48	Facility		$3.48	$3.48	$3.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.79 / $4.83	Professional		$3.48	$3.79	$4.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $6.59 / $10.90	Facility		$5.99	$6.59	$10.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.57 / $7.36	Professional		$5.57	$5.57	$7.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $12.82 / $12.82	Facility		$4.30	$12.82	$12.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $16.22 / $25.19	Facility		$3.60	$16.22	$25.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $9.05 / $11.34	Professional		$3.06	$9.05	$11.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $5.01 / $6.89	Facility		$1.64	$5.01	$6.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $5.99 / $7.19	Professional		$3.43	$5.99	$7.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $6.26 / $80.00	Facility		$2.92	$6.26	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.99 / $6.52	Professional		$2.39	$2.99	$6.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $55.00 / $85.00	Professional		$3.38	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $5.22 / $6.89	Facility		$1.64	$5.22	$6.89
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $5.99 / $7.19	Professional		$3.43	$5.99	$7.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $9.23 / $15.06	Professional		$5.99	$9.23	$15.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $11.70 / $80.00	Facility		$3.60	$11.70	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.60 / $29.83	Professional		$3.06	$3.60	$29.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $5.99	Professional		$5.99	$5.99	$5.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $5.99	Professional		$5.99	$5.99	$5.99
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.99 / $4.98	Professional		$1.99	$2.99	$4.98