Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.32 / $4.32 / $4.32	Facility		$4.32	$4.32	$4.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $4.32 / $5.67	Professional		$3.33	$4.32	$5.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $7.44 / $12.28	Facility		$7.44	$7.44	$12.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.44 / $8.48	Professional		$6.92	$7.44	$8.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $15.92 / $15.92	Facility		$7.44	$15.92	$15.92
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 $3.04 / $10.78 / $14.09	Professional		$3.04	$10.78	$14.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $6.05 / $7.44	Facility		$4.18	$6.05	$7.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $7.44	Professional		$4.25	$4.25	$7.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $5.81 / $7.60	Facility		$4.18	$5.81	$7.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $4.25 / $37.29	Professional		$3.45	$4.25	$37.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $58.40 / $85.00	Professional		$3.72	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $6.11 / $7.44	Facility		$4.18	$6.11	$7.44
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $7.44	Professional		$4.25	$4.25	$7.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $11.16 / $20.00	Professional		$7.44	$11.16	$20.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $15.10 / $80.00	Facility		$14.54	$15.10	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $32.72 / $37.29	Professional		$3.04	$32.72	$37.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $7.44	Professional		$7.44	$7.44	$7.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $7.44	Professional		$7.44	$7.44	$7.44
United Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $3.71 / $6.89	Professional		$2.61	$3.71	$6.89