Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $10.10 / $110.97	Facility		$5.20	$10.10	$110.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.62 / $8.68	Professional		$6.43	$6.62	$8.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $8.03 / $8.03	Facility		$8.03	$8.03	$8.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $8.16	Professional		$6.43	$6.43	$8.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.80 / $8.80 / $10.29	Facility		$8.80	$8.80	$10.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $9.83 / $14.05	Facility		$5.42	$9.83	$14.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.96 / $6.43	Professional		$4.37	$4.96	$6.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $5.05 / $14.25	Facility		$2.31	$5.05	$14.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $12.86 / $12.86	Professional		$0.54	$12.86	$12.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $5.05 / $11.40	Facility		$2.31	$5.05	$11.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $10.61	Professional		$5.05	$5.05	$10.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $65.00 / $85.00	Professional		$4.69	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $5.05 / $14.25	Facility		$2.31	$5.05	$14.25
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $12.86 / $12.86	Professional		$0.54	$12.86	$12.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.47 / $18.00	Professional		$6.43	$6.47	$18.00
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 $6.43 / $6.43 / $6.43	Professional		$6.43	$6.43	$6.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $9.02 / $9.02	Professional		$3.28	$9.02	$9.02
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $8.80	Professional		$6.43	$6.43	$8.80