Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $4.19 / $4.19	Facility		$4.19	$4.19	$4.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $4.19 / $6.05	Professional		$3.18	$4.19	$6.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.22 / $7.22 / $11.91	Facility		$7.22	$7.22	$11.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $7.22 / $8.23	Professional		$6.71	$7.22	$8.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.22 / $15.45 / $15.45	Facility		$7.22	$15.45	$15.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $23.17 / $30.79	Facility		$19.82	$23.17	$30.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $10.31 / $13.66	Professional		$2.95	$10.31	$13.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $5.95 / $7.22	Facility		$4.13	$5.95	$7.22
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $7.22	Professional		$5.34	$5.34	$7.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $5.95 / $7.58	Facility		$4.19	$5.95	$7.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $4.08 / $17.63	Professional		$3.34	$4.08	$17.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $65.00 / $85.00	Professional		$4.21	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $5.95 / $7.22	Facility		$4.13	$5.95	$7.22
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $7.22	Professional		$5.34	$5.34	$7.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $10.83 / $18.00	Professional		$7.22	$10.83	$18.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $14.66 / $90.00	Facility		$14.10	$14.66	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $31.73 / $63.60	Professional		$2.95	$31.73	$63.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $7.22 / $7.22	Professional		$7.22	$7.22	$7.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $7.22 / $7.22	Professional		$7.22	$7.22	$7.22
United Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.60 / $6.90	Professional		$3.06	$3.60	$6.90