Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $11.46 / $13.16	Facility		$5.90	$11.46	$13.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.79 / $6.88	Professional		$5.73	$5.79	$6.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.16 / $10.60 / $12.78	Facility		$7.16	$10.60	$12.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $7.73	Professional		$5.73	$5.73	$7.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $10.31 / $10.51	Facility		$9.17	$10.31	$10.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $8.68 / $15.97	Facility		$5.73	$8.68	$15.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $7.30 / $11.28	Professional		$5.73	$7.30	$11.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.74 / $6.43	Facility		$5.73	$5.74	$6.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $11.46 / $11.46	Professional		$8.60	$11.46	$11.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $6.37	Facility		$5.73	$5.73	$6.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.38 / $25.32	Professional		$5.73	$6.38	$25.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $6.38	Facility		$5.73	$5.73	$6.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $11.46 / $11.46	Professional		$8.60	$11.46	$11.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $8.88 / $18.00	Professional		$5.73	$8.88	$18.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $95.00	Facility		$5.73	$5.73	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $10.55 / $25.32	Professional		$5.73	$10.55	$25.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $8.03 / $8.86	Professional		$7.01	$8.03	$8.86
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.02 / $6.82	Professional		$5.73	$6.02	$6.82