Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Facility		$5.73	$5.73	$5.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.25 / $7.96	Professional		$5.73	$6.25	$7.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $10.86 / $17.96	Facility		$9.86	$10.86	$17.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $9.18 / $12.14	Professional		$9.18	$9.18	$12.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $21.12 / $21.12	Facility		$7.11	$21.12	$21.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $26.13 / $40.59	Facility		$5.93	$26.13	$40.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $14.76 / $18.69	Professional		$5.04	$14.76	$18.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.70 / $8.27 / $11.35	Facility		$2.70	$8.27	$11.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $9.86 / $11.84	Professional		$5.66	$9.86	$11.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $10.31 / $80.00	Facility		$4.80	$10.31	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $4.93 / $10.75	Professional		$3.94	$4.93	$10.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $55.00 / $85.00	Professional		$5.58	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.70 / $8.60 / $11.35	Facility		$2.70	$8.60	$11.35
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $9.86 / $11.84	Professional		$5.66	$9.86	$11.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $15.21 / $25.09	Professional		$9.86	$15.21	$25.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $19.28 / $80.00	Facility		$5.93	$19.28	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $5.93 / $49.15	Professional		$5.04	$5.93	$49.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Professional		$9.86	$9.86	$9.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Professional		$9.86	$9.86	$9.86
United Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $4.93 / $8.48	Professional		$3.28	$4.93	$8.48