Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $1.42 / $4.07	Facility		$1.42	$1.42	$4.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.47 / $4.80	Professional		$1.42	$1.47	$4.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $4.04	Facility		$2.45	$2.45	$4.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.45 / $2.79	Professional		$2.27	$2.45	$2.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $5.24 / $5.24	Facility		$2.45	$5.24	$5.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.37 / $9.80	Facility		$6.31	$7.37	$9.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $3.03 / $4.63	Professional		$1.00	$3.03	$4.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $2.02 / $2.57	Facility		$1.42	$2.02	$2.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Professional		$2.45	$2.45	$2.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $2.02 / $2.88	Facility		$1.42	$2.02	$2.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.38 / $12.20	Professional		$1.15	$1.38	$12.20
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 $1.42 / $2.02 / $2.57	Facility		$1.42	$2.02	$2.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Professional		$2.45	$2.45	$2.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.68 / $6.00	Professional		$2.45	$3.68	$6.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $7.73 / $90.00	Facility		$4.97	$7.73	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.11 / $12.20	Professional		$1.00	$1.11	$12.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Professional		$2.45	$2.45	$2.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Professional		$2.45	$2.45	$2.45
United Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.22 / $2.27	Professional		$1.03	$1.22	$2.27