Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $6.63 / $6.63	Facility		$6.63	$6.63	$6.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $7.23 / $9.19	Professional		$6.41	$7.23	$9.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.42 / $12.56 / $20.78	Facility		$11.42	$12.56	$20.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $14.04	Professional		$10.62	$10.62	$14.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $24.44 / $24.44	Facility		$8.21	$24.44	$24.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $30.64 / $47.59	Facility		$6.86	$30.64	$47.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $16.67 / $21.61	Professional		$5.83	$16.67	$21.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $9.57 / $13.13	Facility		$3.13	$9.57	$13.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $11.42 / $13.70	Professional		$6.54	$11.42	$13.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $11.93 / $80.00	Facility		$5.56	$11.93	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $5.69 / $12.44	Professional		$4.48	$5.69	$12.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $55.00 / $85.00	Professional		$5.24	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $9.94 / $13.13	Facility		$3.13	$9.94	$13.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $11.42 / $13.70	Professional		$6.54	$11.42	$13.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $17.57 / $29.11	Professional		$11.42	$17.57	$29.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $22.30 / $80.00	Facility		$6.86	$22.30	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $6.86 / $56.87	Professional		$5.83	$6.86	$56.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $11.42 / $11.42	Professional		$11.42	$11.42	$11.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $11.42 / $11.42	Professional		$11.42	$11.42	$11.42
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.69 / $9.80	Professional		$3.80	$5.69	$9.80