Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Facility		$3.75	$3.75	$3.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $4.09 / $5.21	Professional		$3.75	$4.09	$5.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $7.11 / $11.76	Facility		$6.46	$7.11	$11.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $6.01 / $7.94	Professional		$6.01	$6.01	$7.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $13.82 / $13.82	Facility		$4.66	$13.82	$13.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $17.12 / $26.59	Facility		$3.88	$17.12	$26.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $9.52 / $12.23	Professional		$3.30	$9.52	$12.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $5.41 / $7.43	Facility		$1.76	$5.41	$7.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $6.46 / $7.75	Professional		$3.69	$6.46	$7.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $6.75 / $80.00	Facility		$3.14	$6.75	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.23 / $7.04	Professional		$2.58	$3.23	$7.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $55.00 / $85.00	Professional		$3.64	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $5.63 / $7.43	Facility		$1.76	$5.63	$7.43
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $6.46 / $7.75	Professional		$3.69	$6.46	$7.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.96 / $16.05	Professional		$6.46	$9.96	$16.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $12.62 / $80.00	Facility		$3.88	$12.62	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.88 / $32.17	Professional		$3.30	$3.88	$32.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.23 / $5.38	Professional		$2.15	$3.23	$5.38