Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $7.78 / $2,887.15	Facility		$4.00	$7.78	$2,887.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.00 / $9.90	Professional		$3.89	$4.00	$9.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $7.20 / $8.67	Facility		$4.86	$7.20	$8.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $4.94	Professional		$3.89	$3.89	$4.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $5.33 / $6.22	Facility		$5.33	$5.33	$6.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $9.28 / $13.28	Facility		$3.89	$9.28	$13.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.04 / $6.86	Professional		$3.98	$6.04	$6.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.89 / $8.56	Facility		$3.64	$3.89	$8.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $7.78 / $7.78	Professional		$5.84	$7.78	$7.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.89 / $8.56	Facility		$3.64	$3.89	$8.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $7.78	Professional		$3.89	$3.89	$7.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $65.00 / $85.00	Professional		$3.89	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.89 / $8.56	Facility		$3.64	$3.89	$8.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $7.78 / $7.78	Professional		$5.84	$7.78	$7.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.03 / $12.00	Professional		$3.89	$6.03	$12.00
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 $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $5.46 / $6.00	Professional		$4.74	$5.46	$6.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $6.22	Professional		$3.89	$3.89	$6.22