Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $5.09 / $6.00	Facility		$2.69	$5.09	$6.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.69 / $5.92	Professional		$2.61	$2.69	$5.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $4.83 / $5.82	Facility		$3.26	$4.83	$5.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $3.31	Professional		$2.61	$2.61	$3.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $3.58 / $4.18	Facility		$3.58	$3.58	$4.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $6.08 / $8.69	Facility		$2.61	$6.08	$8.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $3.84 / $4.36	Professional		$2.61	$3.84	$4.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $2.61 / $5.70	Facility		$2.61	$2.61	$5.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $5.22 / $5.22	Professional		$3.92	$5.22	$5.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $2.61 / $5.70	Facility		$2.61	$2.61	$5.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $5.22	Professional		$2.61	$2.61	$5.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $85.00	Professional		$2.50	$2.50	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $2.61 / $5.70	Facility		$2.61	$2.61	$5.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $5.22 / $5.22	Professional		$3.92	$5.22	$5.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $3.44 / $8.80	Professional		$2.61	$3.44	$8.80
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 $2.61 / $2.61 / $2.61	Professional		$2.61	$2.61	$2.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $3.66 / $3.66	Professional		$3.66	$3.66	$3.66
United Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $3.57	Professional		$2.61	$2.61	$3.57