Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $4.43 / $4.43	Facility		$4.43	$4.43	$4.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.86 / $7.52	Professional		$3.16	$4.86	$7.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $8.38 / $13.87	Facility		$7.62	$8.38	$13.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.09 / $9.36	Professional		$6.92	$7.09	$9.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $9.14 / $16.30	Facility		$5.49	$9.14	$16.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $8.00 / $10.67	Professional		$7.62	$8.00	$10.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $20.73 / $32.19	Facility		$5.40	$20.73	$32.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $11.43 / $14.44	Professional		$4.59	$11.43	$14.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $6.29 / $8.76	Facility		$2.46	$6.29	$8.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.62 / $9.14	Professional		$4.37	$7.62	$9.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $7.97 / $80.00	Facility		$4.37	$7.97	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $4.57 / $9.14	Professional		$3.52	$4.57	$9.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $55.00 / $85.00	Professional		$2.52	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $6.60 / $8.76	Facility		$2.46	$6.60	$8.76
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.62 / $9.14	Professional		$4.37	$7.62	$9.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $11.74 / $23.09	Professional		$7.62	$11.74	$23.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $14.90 / $80.00	Facility		$5.40	$14.90	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.40 / $61.61	Professional		$4.59	$5.40	$61.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $7.62 / $7.62	Professional		$7.62	$7.62	$7.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $7.62 / $7.62	Professional		$7.62	$7.62	$7.62
United Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $4.17 / $7.30	Professional		$3.04	$4.17	$7.30