Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Facility		$2.10	$2.10	$2.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.29 / $2.91	Professional		$2.04	$2.29	$2.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $3.98 / $6.59	Facility		$3.62	$3.98	$6.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $3.37 / $4.45	Professional		$3.25	$3.37	$4.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $4.34 / $7.75	Facility		$2.61	$4.34	$7.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.80 / $5.07	Professional		$3.62	$3.80	$5.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $9.91 / $15.40	Facility		$2.18	$9.91	$15.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $5.24 / $6.86	Professional		$1.85	$5.24	$6.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $3.04 / $4.16	Facility		$0.99	$3.04	$4.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $3.62 / $4.34	Professional		$2.06	$3.62	$4.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $3.78 / $80.00	Facility		$1.75	$3.78	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.82 / $3.95	Professional		$1.44	$1.82	$3.95
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 $0.99 / $3.15 / $4.16	Facility		$0.99	$3.15	$4.16
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $3.62 / $4.34	Professional		$2.06	$3.62	$4.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $5.56 / $9.02	Professional		$3.62	$5.56	$9.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $7.08 / $80.00	Facility		$2.18	$7.08	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.18 / $18.03	Professional		$1.85	$2.18	$18.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.62 / $3.62	Professional		$3.62	$3.62	$3.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.62 / $3.62	Professional		$3.62	$3.62	$3.62
United Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.81 / $3.62	Professional		$1.20	$1.81	$3.62