Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $6.96 / $8.21	Facility		$3.61	$6.96	$8.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.61 / $8.15	Professional		$3.50	$3.61	$8.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $6.48 / $7.81	Facility		$4.38	$6.48	$7.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $4.44	Professional		$3.50	$3.50	$4.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $5.60	Facility		$4.79	$4.79	$5.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $8.76 / $12.52	Facility		$3.50	$8.76	$12.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $5.61 / $6.38	Professional		$3.64	$5.61	$6.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $3.57 / $7.85	Facility		$3.50	$3.57	$7.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $7.00 / $7.00	Professional		$5.36	$7.00	$7.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $7.85	Facility		$3.57	$3.57	$7.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $7.00	Professional		$3.57	$3.57	$7.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $65.00 / $85.00	Professional		$3.57	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $3.57 / $7.85	Facility		$3.50	$3.57	$7.85
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $7.00 / $7.00	Professional		$5.36	$7.00	$7.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.73 / $12.10	Professional		$3.50	$4.73	$12.10
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 $3.50 / $3.50 / $3.50	Professional		$3.50	$3.50	$3.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $4.91 / $4.91	Professional		$4.91	$4.91	$4.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $4.79	Professional		$3.50	$3.50	$4.79