Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $2.27 / $2,751.71	Facility		$1.13	$2.27	$2,751.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.14 / $855.00	Professional		$1.11	$1.14	$855.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $2.04 / $2.48	Facility		$1.39	$2.04	$2.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.40	Professional		$1.11	$1.11	$1.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.52 / $1.78	Facility		$1.52	$1.52	$1.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.11 / $2.68 / $3.83	Facility		$1.11	$2.68	$3.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.79 / $2.04	Professional		$1.12	$1.79	$2.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.13 / $2.13	Facility		$0.99	$1.13	$2.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.22 / $2.22	Professional		$1.71	$2.22	$2.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $1.13 / $3.29	Facility		$1.13	$1.13	$3.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.13 / $2.22	Professional		$1.13	$1.13	$2.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $65.00 / $85.00	Professional		$1.12	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.13 / $2.13	Facility		$0.99	$1.13	$2.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.22 / $2.22	Professional		$1.71	$2.22	$2.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.53 / $3.00	Professional		$1.10	$1.53	$3.00
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 $1.11 / $1.11 / $1.11	Professional		$1.11	$1.11	$1.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.56 / $1.72	Professional		$1.36	$1.56	$1.72
United Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.55	Professional		$1.11	$1.11	$1.55