Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.52 / $4.33	Facility		$1.52	$1.52	$4.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $1.52 / $2.24	Professional		$0.82	$1.52	$2.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $2.61 / $4.30	Facility		$2.61	$2.61	$4.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.61 / $2.97	Professional		$2.43	$2.61	$2.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $5.59 / $5.59	Facility		$2.61	$5.59	$5.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $8.42 / $11.20	Facility		$7.21	$8.42	$11.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $3.75 / $4.94	Professional		$1.33	$3.75	$4.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $1.92 / $2.61	Facility		$1.47	$1.92	$2.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.50 / $2.61	Professional		$1.50	$1.50	$2.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $2.13 / $2.74	Facility		$1.48	$2.13	$2.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.48 / $3.31	Professional		$1.22	$1.48	$3.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $58.40 / $85.00	Professional		$1.33	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $2.13 / $2.61	Facility		$1.47	$2.13	$2.61
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.50 / $2.61	Professional		$1.50	$1.50	$2.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $3.92 / $7.00	Professional		$2.61	$3.92	$7.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $5.30 / $80.00	Facility		$5.09	$5.30	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $11.48 / $13.00	Professional		$1.33	$11.48	$13.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $2.61	Professional		$2.61	$2.61	$2.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $2.61	Professional		$2.61	$2.61	$2.61
United Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.31 / $2.43	Professional		$1.11	$1.31	$2.43