Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $37.33 / $111.66	Facility		$3.98	$37.33	$111.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $2.69 / $18.01	Professional		$0.44	$2.69	$18.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $0.54 / $0.54	Facility		$0.54	$0.54	$0.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.43 / $0.54	Professional		$0.43	$0.43	$0.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.57 / $0.57 / $0.69	Facility		$0.57	$0.57	$0.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $1.07 / $1.53	Facility		$0.43	$1.07	$1.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.76 / $0.86	Professional		$0.45	$0.76	$0.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $0.48 / $0.71	Facility		$0.43	$0.48	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.86 / $0.86	Professional		$0.72	$0.86	$0.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $6.26 / $27.13	Facility		$1.00	$6.26	$27.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.48 / $0.86	Professional		$0.48	$0.48	$0.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $65.00 / $85.00	Professional		$0.49	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $0.48 / $0.71	Facility		$0.43	$0.48	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.86 / $0.86	Professional		$0.72	$0.86	$0.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.51 / $1.10	Professional		$0.43	$0.51	$1.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $123.74 / $123.74 / $123.74	Facility		$123.74	$123.74	$123.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.43 / $0.43	Professional		$0.43	$0.43	$0.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $1.02	Professional		$0.60	$0.60	$1.02
United Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.43 / $0.65	Professional		$0.43	$0.43	$0.65