Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $6.54 / $376.37	Facility		$2.08	$6.54	$376.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.10 / $52.25	Professional		$2.02	$2.10	$52.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $2.52 / $2.52	Facility		$2.52	$2.52	$2.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.56	Professional		$2.02	$2.02	$2.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.77 / $2.77 / $3.23	Facility		$2.77	$2.77	$3.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $5.36 / $7.66	Facility		$2.02	$5.36	$7.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $3.70 / $4.20	Professional		$2.02	$3.70	$4.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.18 / $4.28	Facility		$1.66	$2.18	$4.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $4.04 / $4.04	Professional		$3.27	$4.04	$4.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.18 / $4.99	Facility		$1.66	$2.18	$4.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $4.04	Professional		$2.18	$2.18	$4.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $65.00 / $85.00	Professional		$1.94	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.18 / $4.28	Facility		$1.66	$2.18	$4.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $4.04 / $4.04	Professional		$3.27	$4.04	$4.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $3.00 / $6.00	Professional		$2.02	$3.00	$6.00
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 $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.84 / $3.07	Professional		$2.43	$2.84	$3.07
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $3.23	Professional		$2.02	$2.02	$3.23