Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.73 / $1.82 / $4.95	Facility		$0.73	$1.82	$4.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.73 / $5.22	Professional		$1.00	$1.73	$5.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $2.98 / $4.92	Facility		$2.98	$2.98	$4.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $2.98 / $3.39	Professional		$2.77	$2.98	$3.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $4.47 / $6.38	Facility		$2.98	$4.47	$6.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.58 / $6.91	Professional		$3.13	$3.58	$6.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $9.48 / $12.60	Facility		$8.11	$9.48	$12.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $4.22 / $5.64	Professional		$1.52	$4.22	$5.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $2.42 / $2.98	Facility		$1.68	$2.42	$2.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $2.98	Professional		$1.70	$1.70	$2.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $2.46 / $3.11	Facility		$1.68	$2.46	$3.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.69 / $3.78	Professional		$1.39	$1.69	$3.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $2.46 / $2.98	Facility		$1.68	$2.46	$2.98
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $2.98	Professional		$1.70	$1.70	$2.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $4.47 / $8.00	Professional		$2.98	$4.47	$8.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.82 / $6.05 / $80.00	Facility		$5.82	$6.05	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $13.10 / $14.84	Professional		$1.52	$13.10	$14.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98
United Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.49 / $2.48	Professional		$1.21	$1.49	$2.48