Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.69 / $5.69 / $5.69	Facility		$5.69	$5.69	$5.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $6.03 / $7.88	Professional		$4.26	$6.03	$7.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.78 / $10.77 / $17.82	Facility		$9.78	$10.77	$17.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $9.10 / $12.04	Professional		$8.46	$9.10	$12.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.03 / $11.72 / $20.95	Facility		$7.03	$11.72	$20.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $10.28 / $13.71	Professional		$9.78	$10.28	$13.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.87 / $26.13 / $40.59	Facility		$5.87	$26.13	$40.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $14.29 / $18.53	Professional		$4.99	$14.29	$18.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $8.05 / $11.26	Facility		$2.68	$8.05	$11.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $9.78 / $11.75	Professional		$5.59	$9.78	$11.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $10.24 / $80.00	Facility		$4.76	$10.24	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $5.21 / $11.34	Professional		$4.15	$5.21	$11.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $55.00 / $85.00	Professional		$3.79	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $8.19 / $11.26	Facility		$2.68	$8.19	$11.26
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $9.78 / $11.75	Professional		$5.59	$9.78	$11.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $15.06 / $25.09	Professional		$9.78	$15.06	$25.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.87 / $19.12 / $80.00	Facility		$5.87	$19.12	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $5.87 / $48.75	Professional		$4.99	$5.87	$48.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $9.78 / $9.78	Professional		$9.78	$9.78	$9.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $9.78 / $9.78	Professional		$9.78	$9.78	$9.78
United Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $4.88 / $9.78	Professional		$3.46	$4.88	$9.78