Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $9.19 / $41.57	Facility		$4.12	$9.19	$41.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.32 / $14.78	Professional		$9.05	$9.32	$14.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $11.31 / $11.31	Facility		$11.31	$11.31	$11.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $11.49	Professional		$9.05	$9.05	$11.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $12.39 / $14.48	Facility		$12.39	$12.39	$14.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $38.15 / $54.54	Facility		$9.05	$38.15	$54.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $14.67 / $16.68	Professional		$4.99	$14.67	$16.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $19.95	Facility		$4.00	$4.00	$19.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $18.10 / $18.10	Professional		$2.67	$18.10	$18.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $42.21	Facility		$4.00	$4.00	$42.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $18.10	Professional		$4.00	$4.00	$18.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $65.00 / $85.00	Professional		$4.88	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $19.95	Facility		$4.00	$4.00	$19.95
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $18.10 / $18.10	Professional		$2.67	$18.10	$18.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.99 / $29.18	Professional		$9.05	$9.99	$29.18
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 $9.05 / $9.05 / $9.05	Professional		$9.05	$9.05	$9.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $12.71 / $13.12	Professional		$6.09	$12.71	$13.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $14.48	Professional		$9.05	$9.05	$14.48