Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $422.69 / $4,067.38	Facility		$2.59	$422.69	$4,067.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $3.89	Professional		$2.59	$2.59	$3.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $18.77 / $19.47	Facility		$16.14	$18.77	$19.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $8.41 / $14.28	Professional		$0.67	$8.41	$14.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $48,999.51 / $48,999.51	Facility		$48,999.51	$48,999.51	$48,999.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $5.60 / $10.24	Facility		$2.75	$5.60	$10.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.24	Professional		$2.75	$2.75	$3.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $2.59 / $4.75	Facility		$2.59	$2.59	$4.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $4.75 / $54.01	Facility		$3.80	$4.75	$54.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $2,178.56	Professional		$2.70	$2.70	$2,178.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $58.40 / $85.00	Professional		$24.18	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $2.59 / $4.75	Facility		$2.59	$2.59	$4.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $100.00	Facility		$85.00	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $18.86 / $2,178.56	Professional		$2.75	$18.86	$2,178.56
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $3.70	Professional		$2.70	$2.70	$3.70