Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $9.11 / $15.08	Facility		$2.02	$9.11	$15.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $2.02 / $3.13	Professional		$1.76	$2.02	$3.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $5.76	Facility		$3.49	$3.49	$5.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $3.49 / $4.11	Professional		$3.25	$3.49	$4.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $7.47 / $7.47	Facility		$3.49	$7.47	$7.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $12.64 / $16.79	Facility		$10.81	$12.64	$16.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $5.82 / $6.61	Professional		$2.10	$5.82	$6.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.88 / $3.49	Facility		$2.02	$2.88	$3.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $3.49	Professional		$1.99	$1.99	$3.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.88 / $3.66	Facility		$2.02	$2.88	$3.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.04 / $4.51	Professional		$1.62	$2.04	$4.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $65.00 / $85.00	Professional		$2.40	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.88 / $3.49	Facility		$2.02	$2.88	$3.49
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $3.49	Professional		$1.99	$1.99	$3.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $5.38 / $10.00	Professional		$3.49	$5.38	$10.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $7.08 / $80.00	Facility		$6.82	$7.08	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $15.35 / $20.34	Professional		$2.10	$15.35	$20.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $3.49 / $3.49	Professional		$3.49	$3.49	$3.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $3.49 / $3.49	Professional		$3.49	$3.49	$3.49
United Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.75 / $2.88	Professional		$1.36	$1.75	$2.88