Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $3.08 / $3.63	Facility		$1.62	$3.08	$3.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.62 / $3.51	Professional		$1.57	$1.62	$3.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $2.90 / $3.50	Facility		$1.96	$2.90	$3.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $1.99	Professional		$1.57	$1.57	$1.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $2.15 / $2.50	Facility		$2.15	$2.15	$2.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $3.57 / $5.11	Facility		$1.57	$3.57	$5.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $2.24 / $2.54	Professional		$1.57	$2.24	$2.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.58 / $3.57	Facility		$1.57	$1.58	$3.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.14 / $3.14	Professional		$2.37	$3.14	$3.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $3.57	Facility		$1.58	$1.58	$3.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $3.14	Professional		$1.58	$1.58	$3.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $65.00 / $85.00	Professional		$1.51	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.58 / $3.57	Facility		$1.57	$1.58	$3.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.14 / $3.14	Professional		$2.37	$3.14	$3.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.96 / $5.50	Professional		$1.57	$1.96	$5.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $1.57	Professional		$1.57	$1.57	$1.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.20 / $2.20	Professional		$2.20	$2.20	$2.20
United Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $2.35	Professional		$1.57	$1.57	$2.35