Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $4.13	Facility		$4.13	$4.13	$4.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $4.51 / $5.74	Professional		$3.32	$4.51	$5.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.12 / $7.83 / $12.96	Facility		$7.12	$7.83	$12.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $6.62 / $8.75	Professional		$6.15	$6.62	$8.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $8.53 / $15.24	Facility		$5.12	$8.53	$15.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $7.48 / $9.97	Professional		$7.12	$7.48	$9.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $18.92 / $29.39	Facility		$4.28	$18.92	$29.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $10.48 / $13.48	Professional		$3.64	$10.48	$13.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $5.96 / $8.19	Facility		$1.95	$5.96	$8.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $7.12 / $8.53	Professional		$4.08	$7.12	$8.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $7.43 / $80.00	Facility		$3.47	$7.43	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $3.79 / $7.74	Professional		$2.84	$3.79	$7.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.02 / $55.00 / $85.00	Professional		$4.02	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $6.20 / $8.19	Facility		$1.95	$6.20	$8.19
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $7.12 / $8.53	Professional		$4.08	$7.12	$8.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $10.96 / $18.07	Professional		$7.12	$10.96	$18.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $13.90 / $80.00	Facility		$4.28	$13.90	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $4.28 / $35.46	Professional		$3.64	$4.28	$35.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $7.12 / $7.12	Professional		$7.12	$7.12	$7.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $7.12 / $7.12	Professional		$7.12	$7.12	$7.12
United Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.55 / $6.03	Professional		$2.37	$3.55	$6.03