Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $3.99 / $3.99	Facility		$3.99	$3.99	$3.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $4.34 / $10.00	Professional		$3.99	$4.34	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $7.56 / $12.50	Facility		$6.87	$7.56	$12.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $6.39 / $8.44	Professional		$6.18	$6.39	$8.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $14.70 / $14.70	Facility		$4.94	$14.70	$14.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $18.02 / $27.99	Facility		$4.13	$18.02	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $10.00 / $13.00	Professional		$3.51	$10.00	$13.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $5.76 / $7.90	Facility		$1.89	$5.76	$7.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $6.87 / $8.24	Professional		$3.94	$6.87	$8.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $7.18 / $80.00	Facility		$3.35	$7.18	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $3.52 / $7.99	Professional		$2.92	$3.52	$7.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $5.99 / $7.90	Facility		$1.89	$5.99	$7.90
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $6.87 / $8.24	Professional		$3.94	$6.87	$8.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $10.58 / $17.05	Professional		$6.87	$10.58	$17.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $13.42 / $80.00	Facility		$4.13	$13.42	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $4.13 / $34.21	Professional		$3.51	$4.13	$34.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $6.87	Professional		$6.87	$6.87	$6.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $6.87	Professional		$6.87	$6.87	$6.87
United Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.43 / $6.87	Professional		$2.48	$3.43	$6.87