Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $5.93 / $7.00	Facility		$3.14	$5.93	$7.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.19 / $4.25	Professional		$3.10	$3.19	$4.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Facility		$3.88	$3.88	$3.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $3.93	Professional		$3.10	$3.10	$3.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $4.96	Facility		$4.24	$4.24	$4.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $3.57 / $5.11	Facility		$1.97	$3.57	$5.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.13 / $3.80	Professional		$3.04	$3.13	$3.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $7.14	Facility		$3.04	$3.04	$7.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $6.20 / $6.20	Professional		$4.55	$6.20	$6.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $6.41	Facility		$3.04	$3.04	$6.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $6.20	Professional		$3.04	$3.04	$6.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $7.27 / $85.00	Professional		$2.98	$7.27	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $7.14	Facility		$3.04	$3.04	$7.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $6.20 / $6.20	Professional		$4.55	$6.20	$6.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.53 / $9.90	Professional		$3.10	$3.53	$9.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.10 / $95.00	Facility		$3.10	$3.10	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $3.10	Professional		$3.10	$3.10	$3.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $4.34 / $6.29	Professional		$4.34	$4.34	$6.29
United Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $4.03	Professional		$3.10	$3.10	$4.03