Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $7.33 / $7.33	Facility		$7.33	$7.33	$7.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $8.00 / $10.18	Professional		$7.33	$8.00	$10.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $13.89 / $22.99	Facility		$12.63	$13.89	$22.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $15.53	Professional		$11.75	$11.75	$15.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $27.03 / $27.03	Facility		$9.08	$27.03	$27.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $34.24 / $53.18	Facility		$7.59	$34.24	$53.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $18.57 / $23.90	Professional		$6.45	$18.57	$23.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $10.58 / $14.52	Facility		$3.46	$10.58	$14.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $12.63 / $15.16	Professional		$7.23	$12.63	$15.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $13.19 / $80.00	Facility		$6.14	$13.19	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $6.30 / $13.75	Professional		$5.04	$6.30	$13.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $55.00 / $85.00	Professional		$6.74	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $11.00 / $14.52	Facility		$3.46	$11.00	$14.52
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $12.63 / $15.16	Professional		$7.23	$12.63	$15.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $19.45 / $32.11	Professional		$12.63	$19.45	$32.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $24.66 / $80.00	Facility		$7.59	$24.66	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $7.59 / $62.90	Professional		$6.45	$7.59	$62.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $12.63 / $12.63	Professional		$12.63	$12.63	$12.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $12.63 / $12.63	Professional		$12.63	$12.63	$12.63
United Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $6.30 / $10.69	Professional		$4.20	$6.30	$10.69