Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $3.40 / $3.40	Facility		$3.40	$3.40	$3.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $3.71 / $4.72	Professional		$3.29	$3.71	$4.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.87 / $6.46 / $10.68	Facility		$5.87	$6.46	$10.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $5.46 / $7.22	Professional		$5.14	$5.46	$7.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $12.56 / $12.56	Facility		$4.21	$12.56	$12.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $15.32 / $23.79	Facility		$3.77	$15.32	$23.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $8.44 / $11.10	Professional		$2.40	$8.44	$11.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.60 / $4.91 / $6.75	Facility		$1.60	$4.91	$6.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $5.87 / $7.04	Professional		$3.34	$5.87	$7.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $6.12 / $80.00	Facility		$2.84	$6.12	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.92 / $6.38	Professional		$2.34	$2.92	$6.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $55.00 / $85.00	Professional		$3.29	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.60 / $5.09 / $6.75	Facility		$1.60	$5.09	$6.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $5.87 / $7.04	Professional		$3.34	$5.87	$7.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $9.02 / $15.06	Professional		$5.87	$9.02	$15.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $11.46 / $80.00	Facility		$3.77	$11.46	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.77 / $25.79	Professional		$2.40	$3.77	$25.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $5.87 / $5.87	Professional		$5.87	$5.87	$5.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $5.87 / $5.87	Professional		$5.87	$5.87	$5.87
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.92 / $4.96	Professional		$1.95	$2.92	$4.96