Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $5.31 / $15.19	Facility		$5.31	$5.31	$15.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $5.31 / $7.84	Professional		$3.99	$5.31	$7.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $9.15 / $15.10	Facility		$9.15	$9.15	$15.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.15 / $10.43	Professional		$8.51	$9.15	$10.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $19.57 / $19.57	Facility		$9.15	$19.57	$19.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $28.43 / $37.79	Facility		$24.33	$28.43	$37.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $13.13 / $17.32	Professional		$4.67	$13.13	$17.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $7.43 / $9.15	Facility		$5.14	$7.43	$9.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $5.23 / $9.15	Professional		$5.23	$5.23	$9.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $7.53 / $9.56	Facility		$5.18	$7.53	$9.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.17 / $11.59	Professional		$4.25	$5.17	$11.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $65.00 / $85.00	Professional		$4.59	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $7.53 / $9.15	Facility		$5.14	$7.53	$9.15
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $5.23 / $9.15	Professional		$5.23	$5.23	$9.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $13.73 / $23.00	Professional		$9.15	$13.73	$23.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $18.57 / $80.00	Facility		$17.88	$18.57	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $40.22 / $45.57	Professional		$4.67	$40.22	$45.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $9.15 / $9.15	Professional		$9.15	$9.15	$9.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $9.15 / $9.15	Professional		$9.15	$9.15	$9.15
United Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.55 / $7.60	Professional		$3.84	$4.55	$7.60