Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $7.27	Facility		$2.54	$2.54	$7.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $2.54 / $3.75	Professional		$1.20	$2.54	$3.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $4.38 / $7.23	Facility		$4.38	$4.38	$7.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.87 / $4.34	Professional		$0.89	$1.87	$4.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $9.36 / $9.36	Facility		$4.38	$9.36	$9.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.25 / $10.16	Professional		$4.59	$5.25	$10.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $13.69 / $18.19	Facility		$11.71	$13.69	$18.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $6.56 / $8.30	Professional		$2.24	$6.56	$8.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $3.21 / $4.38	Facility		$2.25	$3.21	$4.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $4.38	Professional		$2.50	$2.50	$4.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $3.21 / $4.38	Facility		$2.25	$3.21	$4.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.47 / $15.34	Professional		$2.02	$2.47	$15.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $58.40 / $85.00	Professional		$1.86	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $3.26 / $4.38	Facility		$2.19	$3.26	$4.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $4.38	Professional		$2.50	$2.50	$4.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $6.57 / $8.48	Professional		$4.38	$6.57	$8.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.56 / $8.89 / $80.00	Facility		$8.56	$8.89	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $19.26 / $21.81	Professional		$2.24	$19.26	$21.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Professional		$4.38	$4.38	$4.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Professional		$4.38	$4.38	$4.38
United Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $2.18 / $4.05	Professional		$1.73	$2.18	$4.05