Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.78 / $53.26 / $93.03	Facility		$6.78	$53.26	$93.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.86 / $13.36	Professional		$1.81	$1.86	$13.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Facility		$2.25	$2.25	$2.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $2.52	Professional		$1.81	$1.81	$2.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.52 / $3.78	Facility		$1.81	$2.52	$3.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.08 / $4.20	Professional		$1.81	$2.08	$4.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $7.29 / $12.64	Facility		$1.81	$7.29	$12.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $3.65 / $6.08	Professional		$1.81	$3.65	$6.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.00 / $16.55	Facility		$1.81	$2.00	$16.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $3.62 / $3.78	Professional		$0.80	$3.62	$3.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $2.78 / $40.52	Facility		$2.52	$2.78	$40.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.81 / $125.33	Professional		$2.52	$2.81	$125.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.52 / $16.55	Facility		$1.81	$2.52	$16.55
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $3.62 / $3.78	Professional		$0.80	$3.62	$3.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $3.53 / $10.22	Professional		$1.81	$3.53	$10.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $5.88 / $125.33	Professional		$1.81	$5.88	$125.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $15.92	Professional		$2.54	$2.54	$15.92
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.86 / $2.27	Professional		$1.81	$1.86	$2.27