Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $4.34 / $4.34	Facility		$4.34	$4.34	$4.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $4.34 / $10.78	Professional		$2.19	$4.34	$10.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.46 / $7.46 / $12.31	Facility		$7.46	$7.46	$12.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $7.46 / $8.50	Professional		$6.94	$7.46	$8.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.46 / $15.96 / $15.96	Facility		$7.46	$15.96	$15.96
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 $3.82 / $10.78 / $14.13	Professional		$3.82	$10.78	$14.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $5.56 / $7.46	Facility		$3.91	$5.56	$7.46
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.46	Professional		$3.98	$3.98	$7.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $5.47 / $7.46	Facility		$4.22	$5.47	$7.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $4.00 / $9.46	Professional		$3.35	$4.00	$9.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $65.00 / $85.00	Professional		$1.92	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $5.56 / $7.46	Facility		$3.91	$5.56	$7.46
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.46	Professional		$3.98	$3.98	$7.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $11.19 / $19.00	Professional		$7.46	$11.19	$19.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $15.14 / $80.00	Facility		$14.58	$15.14	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $32.81 / $37.15	Professional		$3.82	$32.81	$37.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $7.46 / $7.46	Professional		$7.46	$7.46	$7.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $7.46 / $7.46	Professional		$7.46	$7.46	$7.46
United Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.73 / $6.96	Professional		$3.06	$3.73	$6.96