Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.32 / $13.32 / $92.56	Facility		$13.32	$13.32	$92.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $10.55 / $13.32	Professional		$8.55	$10.55	$13.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $8.69 / $21.15	Professional		$3.74	$8.69	$21.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $10.41 / $10.41	Facility		$10.41	$10.41	$10.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $9.91 / $9.91	Professional		$9.91	$9.91	$9.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $10.53 / $16.14	Facility		$9.01	$10.53	$16.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $8.52 / $10.76	Professional		$3.75	$8.52	$10.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $9.13 / $15.36	Facility		$1.50	$9.13	$15.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Professional		$2.14	$2.14	$2.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $9.13 / $90.00	Facility		$3.31	$9.13	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $22.50 / $38.25	Professional		$11.69	$22.50	$38.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $11.87 / $65.00	Professional		$2.94	$11.87	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $9.13 / $15.36	Facility		$1.50	$9.13	$15.36
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Professional		$2.14	$2.14	$2.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $24.68 / $35.20	Professional		$10.35	$24.68	$35.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $19.76 / $90.00	Facility		$19.76	$19.76	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $8.52 / $8.52	Professional		$8.52	$8.52	$8.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.13 / $10.13	Professional		$10.13	$10.13	$10.13
United Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $23.40 / $38.63	Professional		$12.00	$23.40	$38.63