Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $14.57 / $17.14	Facility		$7.33	$14.57	$17.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.33 / $13.47	Professional		$7.11	$7.33	$13.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $13.15 / $15.86	Facility		$8.89	$13.15	$15.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $9.02	Professional		$7.11	$7.11	$9.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $9.74 / $11.38	Facility		$9.74	$9.74	$11.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $15.46 / $22.10	Facility		$7.11	$15.46	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $11.00 / $12.50	Professional		$7.24	$11.00	$12.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $7.47 / $15.67	Facility		$4.97	$7.47	$15.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $14.22 / $14.22	Professional		$11.21	$14.22	$14.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $7.47 / $16.39	Facility		$4.97	$7.47	$16.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $7.47 / $14.22	Professional		$7.47	$7.47	$14.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $65.00 / $85.00	Professional		$7.09	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $7.47 / $15.67	Facility		$4.97	$7.47	$15.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $14.22 / $14.22	Professional		$11.21	$14.22	$14.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $9.51 / $23.00	Professional		$7.11	$9.51	$23.00
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 $7.11 / $7.11 / $7.11	Professional		$7.11	$7.11	$7.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $9.98 / $10.44	Professional		$6.94	$9.98	$10.44
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $10.67	Professional		$7.11	$7.11	$10.67