Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $3.54 / $3.54	Facility		$3.54	$3.54	$3.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.86 / $4.91	Professional		$3.54	$3.86	$4.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.09 / $6.70 / $11.08	Facility		$6.09	$6.70	$11.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $5.66 / $7.49	Professional		$5.48	$5.66	$7.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $13.03 / $13.03	Facility		$4.38	$13.03	$13.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.66 / $16.22 / $25.19	Facility		$3.66	$16.22	$25.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $9.05 / $11.53	Professional		$3.11	$9.05	$11.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $5.09 / $7.00	Facility		$1.67	$5.09	$7.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $6.09 / $7.31	Professional		$3.49	$6.09	$7.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.97 / $6.37 / $80.00	Facility		$2.97	$6.37	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.04 / $6.64	Professional		$2.43	$3.04	$6.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $55.00 / $85.00	Professional		$3.44	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $5.31 / $7.00	Facility		$1.67	$5.31	$7.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $6.09 / $7.31	Professional		$3.49	$6.09	$7.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $9.39 / $15.06	Professional		$6.09	$9.39	$15.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.66 / $11.90 / $80.00	Facility		$3.66	$11.90	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.66 / $30.33	Professional		$3.11	$3.66	$30.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $6.09 / $6.09	Professional		$6.09	$6.09	$6.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $6.09 / $6.09	Professional		$6.09	$6.09	$6.09
United Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.59 / $3.88	Facility		$2.06	$2.59	$3.88
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $3.04 / $6.09	Professional		$2.02	$3.04	$6.09