Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $2.52 / $2.97	Facility		$1.33	$2.52	$2.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.34 / $2.67	Professional		$1.30	$1.34	$2.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $2.41 / $2.90	Facility		$1.63	$2.41	$2.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.30 / $1.65	Professional		$1.30	$1.30	$1.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.78 / $2.08	Facility		$1.78	$1.78	$2.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $2.95 / $4.21	Facility		$1.33	$2.95	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.76 / $2.00	Professional		$1.27	$1.76	$2.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.29 / $2.86	Facility		$1.29	$1.29	$2.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $2.60 / $2.60	Professional		$1.94	$2.60	$2.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.29 / $2.86	Facility		$1.29	$1.29	$2.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $2.60	Professional		$1.29	$1.29	$2.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $65.00 / $85.00	Professional		$1.21	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.29 / $2.86	Facility		$1.29	$1.29	$2.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $2.60 / $2.60	Professional		$1.94	$2.60	$2.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.72 / $4.40	Professional		$1.30	$1.72	$4.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.33 / $1.33	Professional		$1.33	$1.33	$1.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $1.83	Professional		$1.83	$1.83	$1.83
United Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.30 / $1.82	Professional		$1.30	$1.30	$1.82