Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $5.08	Facility		$5.08	$5.08	$5.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.54 / $7.06	Professional		$5.08	$5.54	$7.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $9.64 / $15.94	Facility		$8.76	$9.64	$15.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $10.77	Professional		$8.15	$8.15	$10.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $18.75 / $18.75	Facility		$6.30	$18.75	$18.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $23.43 / $36.39	Facility		$5.26	$23.43	$36.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $12.86 / $16.57	Professional		$4.47	$12.86	$16.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $7.33 / $10.07	Facility		$2.40	$7.33	$10.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.76 / $10.51	Professional		$5.01	$8.76	$10.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $9.14 / $80.00	Facility		$4.26	$9.14	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $4.37 / $9.52	Professional		$3.49	$4.37	$9.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.64 / $55.00 / $85.00	Professional		$4.64	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $7.62 / $10.07	Facility		$2.40	$7.62	$10.07
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.76 / $10.51	Professional		$5.01	$8.76	$10.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $13.49 / $22.08	Professional		$8.76	$13.49	$22.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $17.10 / $80.00	Facility		$5.26	$17.10	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.26 / $43.62	Professional		$4.47	$5.26	$43.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $8.76 / $8.76	Professional		$8.76	$8.76	$8.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $8.76 / $8.76	Professional		$8.76	$8.76	$8.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $4.37 / $7.41	Professional		$2.91	$4.37	$7.41