Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.73 / $7.82	Facility		$2.73	$2.73	$7.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $2.73 / $3.94	Professional		$1.38	$2.73	$3.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $4.71 / $7.77	Facility		$4.71	$4.71	$7.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.71 / $5.36	Professional		$4.38	$4.71	$5.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $10.08 / $10.08	Facility		$4.71	$10.08	$10.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $14.74 / $19.59	Facility		$12.62	$14.74	$19.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $7.03 / $8.91	Professional		$2.40	$7.03	$8.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $3.45 / $4.71	Facility		$2.64	$3.45	$4.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $2.68 / $4.71	Professional		$2.68	$2.68	$4.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.67 / $3.82 / $4.91	Facility		$2.67	$3.82	$4.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.66 / $6.04	Professional		$2.18	$2.66	$6.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $65.00 / $85.00	Professional		$1.61	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $3.82 / $4.71	Facility		$2.64	$3.82	$4.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $2.68 / $4.71	Professional		$2.68	$2.68	$4.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $7.07 / $12.00	Professional		$4.71	$7.07	$12.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.56 / $80.00	Facility		$9.19	$9.56	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $20.70 / $23.46	Professional		$2.40	$20.70	$23.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $4.71 / $4.71	Professional		$4.71	$4.71	$4.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $4.71 / $4.71	Professional		$4.71	$4.71	$4.71
United Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.35 / $4.38	Professional		$1.98	$2.35	$4.38