Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $50.31 / $117.23	Facility		$2.94	$50.31	$117.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $2.61 / $5.88	Professional		$1.05	$2.61	$5.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.18 / $3.18 / $3.18	Facility		$3.18	$3.18	$3.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.22	Professional		$2.54	$2.54	$3.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $4.05	Facility		$3.47	$3.47	$4.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $2.77 / $3.96	Facility		$1.53	$2.77	$3.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.42 / $2.54	Professional		$1.08	$1.42	$2.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.96 / $5.70	Facility		$1.32	$1.96	$5.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $5.08 / $5.08	Professional		$2.94	$5.08	$5.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $4.28 / $38.59	Facility		$1.96	$4.28	$38.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $1.96 / $5.08	Professional		$1.96	$1.96	$5.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $65.00 / $85.00	Professional		$1.03	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.96 / $5.70	Facility		$1.32	$1.96	$5.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $5.08 / $5.08	Professional		$2.94	$5.08	$5.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.54 / $6.00	Professional		$2.35	$2.54	$6.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $100.00	Facility		$2.54	$2.54	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.54	Professional		$2.54	$2.54	$2.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $3.57 / $3.57	Professional		$1.56	$3.57	$3.57
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $4.05	Professional		$2.54	$2.54	$4.05