Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $3.81 / $10.87	Facility		$3.81	$3.81	$10.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $3.81 / $5.62	Professional		$2.85	$3.81	$5.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $6.55 / $10.81	Facility		$6.55	$6.55	$10.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $6.55 / $7.46	Professional		$6.09	$6.55	$7.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $14.02 / $14.02	Facility		$6.55	$14.02	$14.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.06 / $27.99	Facility		$18.02	$21.06	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $9.38 / $12.40	Professional		$3.35	$9.38	$12.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $5.33 / $6.55	Facility		$3.67	$5.33	$6.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $3.73 / $6.55	Professional		$3.73	$3.73	$6.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $5.38 / $6.86	Facility		$3.71	$5.38	$6.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.70 / $8.31	Professional		$3.04	$3.70	$8.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $65.00 / $85.00	Professional		$6.96	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $5.38 / $6.55	Facility		$3.67	$5.38	$6.55
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $3.73 / $6.55	Professional		$3.73	$3.73	$6.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $9.83 / $17.00	Professional		$6.55	$9.83	$17.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $13.30 / $80.00	Facility		$12.80	$13.30	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $28.80 / $32.61	Professional		$3.35	$28.80	$32.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $6.55 / $6.55	Professional		$6.55	$6.55	$6.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $6.55 / $6.55	Professional		$6.55	$6.55	$6.55
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.27 / $6.27	Professional		$2.31	$3.27	$6.27