Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $167.36 / $788.40	Facility		$4.07	$167.36	$788.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $58.69 / $218.03	Professional		$3.22	$58.69	$218.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $4.03 / $4.03	Facility		$4.03	$4.03	$4.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $4.08	Professional		$3.22	$3.22	$4.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $5.90 / $5.90	Facility		$4.76	$5.90	$5.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $5.47 / $11.37	Facility		$3.22	$5.47	$11.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $6.97 / $7.93	Professional		$3.56	$6.97	$7.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $3.95 / $7.14	Facility		$2.98	$3.95	$7.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $6.44 / $6.44	Professional		$0.54	$6.44	$6.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $17.93 / $23.90	Facility		$3.95	$17.93	$23.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $4.47 / $6.44	Professional		$3.95	$4.47	$6.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $65.00 / $85.00	Professional		$3.51	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $3.95 / $7.14	Facility		$2.98	$3.95	$7.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $6.44 / $6.44	Professional		$0.54	$6.44	$6.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.99 / $13.00	Professional		$3.22	$4.99	$13.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $3.22 / $164.71	Facility		$3.22	$3.22	$164.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.22	Professional		$3.22	$3.22	$3.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.51 / $5.47	Professional		$4.05	$4.51	$5.47
United Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.83 / $4.83	Professional		$3.22	$3.83	$4.83