Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $2.20 / $2.59	Facility		$1.12	$2.20	$2.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.12 / $2.67	Professional		$1.09	$1.12	$2.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.36 / $2.00 / $2.41	Facility		$1.36	$2.00	$2.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $1.38	Professional		$1.09	$1.09	$1.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $1.50 / $1.74	Facility		$1.50	$1.50	$1.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $2.86 / $4.09	Facility		$1.09	$2.86	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.61 / $1.83	Professional		$1.12	$1.61	$1.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $1.09 / $1.12	Facility		$0.60	$1.09	$1.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $2.16 / $2.16	Professional		$0.54	$2.16	$2.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $1.12 / $1.12	Facility		$0.60	$1.12	$1.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $2.16	Professional		$1.12	$1.12	$2.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $65.00 / $85.00	Professional		$1.12	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $1.09 / $1.12	Facility		$0.60	$1.09	$1.12
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $2.16 / $2.16	Professional		$0.54	$2.16	$2.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.25 / $3.24	Professional		$1.08	$1.25	$3.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $1.09 / $100.00	Facility		$1.09	$1.09	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $1.09	Professional		$1.09	$1.09	$1.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.53 / $1.71	Professional		$1.35	$1.53	$1.71
United Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $1.53	Professional		$1.09	$1.09	$1.53