Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $13.68	Facility		$4.79	$4.79	$13.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $4.79 / $7.07	Professional		$2.42	$4.79	$7.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.24 / $8.24 / $13.60	Facility		$8.24	$8.24	$13.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $8.24 / $9.39	Professional		$7.66	$8.24	$9.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.24 / $17.63 / $17.63	Facility		$8.24	$17.63	$17.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $34.99	Facility		$22.53	$26.33	$34.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $11.72 / $15.60	Professional		$4.22	$11.72	$15.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $6.71 / $8.24	Facility		$4.63	$6.71	$8.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.73 / $8.24	Professional		$4.73	$4.73	$8.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.67 / $6.80 / $8.61	Facility		$4.67	$6.80	$8.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.66 / $10.45	Professional		$3.84	$4.66	$10.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $65.00 / $85.00	Professional		$8.78	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $6.80 / $8.24	Facility		$4.63	$6.80	$8.24
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.73 / $8.24	Professional		$4.73	$4.73	$8.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $12.36 / $21.00	Professional		$8.24	$12.36	$21.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $16.73 / $80.00	Facility		$16.10	$16.73	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $36.22 / $41.04	Professional		$4.22	$36.22	$41.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $8.24	Professional		$8.24	$8.24	$8.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $8.24	Professional		$8.24	$8.24	$8.24
United Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.12 / $7.69	Professional		$3.43	$4.12	$7.69