Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $4.92 / $86.24	Facility		$2.44	$4.92	$86.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.46 / $9.14	Professional		$2.37	$2.46	$9.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $2.96 / $2.96	Facility		$2.96	$2.96	$2.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $3.00	Professional		$2.37	$2.37	$3.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.25 / $3.79	Facility		$3.25	$3.25	$3.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $5.54 / $7.92	Facility		$2.37	$5.54	$7.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $4.15 / $4.71	Professional		$1.66	$4.15	$4.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $2.46 / $4.99	Facility		$2.37	$2.46	$4.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $4.74 / $4.74	Professional		$1.34	$4.74	$4.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $2.46 / $5.70	Facility		$2.46	$2.46	$5.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $2.46 / $4.74	Professional		$2.46	$2.46	$4.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $65.00 / $85.00	Professional		$1.60	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $2.46 / $4.99	Facility		$2.37	$2.46	$4.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $4.74 / $4.74	Professional		$1.34	$4.74	$4.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.58 / $6.48	Professional		$2.37	$2.58	$6.48
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 $2.37 / $2.37 / $2.37	Professional		$2.37	$2.37	$2.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.33 / $5.81	Professional		$3.10	$3.33	$5.81
United Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $3.79	Professional		$2.37	$2.37	$3.79