Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $7.80 / $7.80	Facility		$7.80	$7.80	$7.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $8.50 / $10.82	Professional		$7.80	$8.50	$10.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $14.76 / $24.42	Facility		$13.42	$14.76	$24.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $12.48 / $16.50	Professional		$11.60	$12.48	$16.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $28.72 / $28.72	Facility		$9.66	$28.72	$28.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $36.04 / $55.98	Facility		$8.07	$36.04	$55.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $19.53 / $25.41	Professional		$6.86	$19.53	$25.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.68 / $11.25 / $15.43	Facility		$3.68	$11.25	$15.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $13.42 / $16.10	Professional		$7.70	$13.42	$16.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.54 / $14.04 / $80.00	Facility		$6.54	$14.04	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $6.70 / $14.62	Professional		$5.35	$6.70	$14.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.64 / $55.00 / $85.00	Professional		$4.64	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.68 / $11.70 / $15.43	Facility		$3.68	$11.70	$15.43
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $13.42 / $16.10	Professional		$7.70	$13.42	$16.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $20.66 / $34.13	Professional		$13.42	$20.66	$34.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $26.22 / $80.00	Facility		$8.07	$26.22	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $8.07 / $66.83	Professional		$6.86	$8.07	$66.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $13.42 / $13.42	Professional		$13.42	$13.42	$13.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $13.42 / $13.42	Professional		$13.42	$13.42	$13.42
United Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $5.71 / $8.55	Facility		$4.51	$5.71	$8.55
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.70 / $11.52	Professional		$4.47	$6.70	$11.52