Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $4.51 / $12.76	Facility		$2.33	$4.51	$12.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.33 / $8.99	Professional		$2.25	$2.33	$8.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.83 / $2.83 / $2.83	Facility		$2.83	$2.83	$2.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.87	Professional		$2.25	$2.25	$2.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.10 / $3.62	Facility		$3.10	$3.10	$3.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $6.34 / $9.07	Facility		$2.25	$6.34	$9.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $4.37 / $4.96	Professional		$3.64	$4.37	$4.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.25 / $4.99	Facility		$2.25	$2.25	$4.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.51 / $6.42	Professional		$3.39	$4.51	$6.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.25 / $91.15	Facility		$2.25	$2.25	$91.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $4.51	Professional		$2.25	$2.25	$4.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $65.00 / $85.00	Professional		$3.58	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.25 / $4.99	Facility		$2.25	$2.25	$4.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.51 / $6.42	Professional		$3.39	$4.51	$6.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.51 / $7.48	Professional		$2.25	$3.51	$7.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $211.64 / $211.64 / $211.64	Facility		$211.64	$211.64	$211.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Professional		$2.25	$2.25	$2.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $3.17 / $8.21	Professional		$3.17	$3.17	$8.21
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $3.62	Professional		$2.25	$2.25	$3.62