Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $5.97 / $5.97	Facility		$5.97	$5.97	$5.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $5.97 / $7.86	Professional		$5.55	$5.97	$7.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $11.31 / $18.71	Facility		$10.28	$11.31	$18.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $9.56 / $12.64	Professional		$9.25	$9.56	$12.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.40 / $22.00 / $22.00	Facility		$7.40	$22.00	$22.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.18 / $27.93 / $43.39	Facility		$6.18	$27.93	$43.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $15.24 / $19.46	Professional		$5.25	$15.24	$19.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $8.36 / $11.82	Facility		$2.81	$8.36	$11.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $9.75 / $12.34	Professional		$5.66	$9.75	$12.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $10.37 / $80.00	Facility		$5.00	$10.37	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.18 / $11.20	Professional		$4.09	$5.18	$11.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $55.00 / $85.00	Professional		$6.19	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $8.96 / $11.82	Facility		$2.81	$8.96	$11.82
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $9.75 / $12.34	Professional		$5.66	$9.75	$12.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $15.82 / $26.10	Professional		$10.28	$15.82	$26.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.18 / $20.07 / $80.00	Facility		$6.18	$20.07	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.18 / $50.70	Professional		$5.25	$6.18	$50.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.28 / $10.28	Professional		$10.28	$10.28	$10.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.28 / $10.28	Professional		$10.28	$10.28	$10.28
United Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $5.13 / $10.28	Professional		$3.42	$5.13	$10.28