Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.16 / $11.66 / $13.74	Facility		$6.16	$11.66	$13.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $6.16 / $8.21	Professional		$5.98	$6.16	$8.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.48 / $11.06 / $13.34	Facility		$7.48	$11.06	$13.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $7.59	Professional		$5.98	$5.98	$7.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $8.19 / $9.57	Facility		$8.19	$8.19	$9.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $14.47 / $20.69	Facility		$5.98	$14.47	$20.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $9.33 / $10.60	Professional		$6.08	$9.33	$10.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $5.98 / $12.84	Facility		$5.98	$5.98	$12.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $11.96 / $11.96	Professional		$8.97	$11.96	$11.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $5.98 / $12.84	Facility		$5.98	$5.98	$12.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $11.96	Professional		$5.98	$5.98	$11.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $85.00	Professional		$5.98	$5.98	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $5.98 / $12.84	Facility		$5.98	$5.98	$12.84
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $11.96 / $11.96	Professional		$8.97	$11.96	$11.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $9.27 / $23.27	Professional		$5.98	$9.27	$23.27
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 $5.98 / $5.98 / $5.98	Professional		$5.98	$5.98	$5.98
United Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $7.77	Professional		$5.98	$5.98	$7.77