Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $162.50 / $528.66	Facility		$4.36	$162.50	$528.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $6.28 / $79.02	Professional		$1.74	$6.28	$79.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $2.61	Professional		$1.74	$1.74	$2.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.38 / $2.44 / $2.78	Facility		$2.38	$2.44	$2.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $4.42 / $6.26	Facility		$1.74	$4.42	$6.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $3.14 / $3.56	Professional		$1.74	$3.14	$3.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $1.99	Facility		$1.74	$1.74	$1.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $1.87 / $1.87	Professional		$1.87	$1.87	$1.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $6.80 / $29.14	Facility		$1.74	$6.80	$29.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $6.31	Professional		$1.74	$1.74	$6.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $65.00 / $85.00	Professional		$1.82	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $3.57	Facility		$1.74	$1.74	$3.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $1.87 / $1.87	Professional		$1.87	$1.87	$1.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.16 / $6.48	Professional		$1.74	$2.16	$6.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $3.35 / $12.00	Professional		$1.74	$3.35	$12.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.44 / $2.71	Professional		$2.44	$2.44	$2.71
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $2.78	Professional		$1.74	$1.74	$2.78