Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.77 / $2.77 / $2.77	Facility		$2.77	$2.77	$2.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $3.02 / $3.84	Professional		$2.68	$3.02	$3.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $5.25 / $8.68	Facility		$4.76	$5.25	$8.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $4.44 / $5.86	Professional		$4.44	$4.44	$5.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $10.21 / $10.21	Facility		$3.43	$10.21	$10.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $14.00 / $19.59	Facility		$2.86	$14.00	$19.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $7.14 / $9.02	Professional		$2.43	$7.14	$9.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $4.00 / $5.49	Facility		$1.30	$4.00	$5.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $4.76 / $5.72	Professional		$2.72	$4.76	$5.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $4.99 / $80.00	Facility		$2.31	$4.99	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.38 / $5.19	Professional		$1.90	$2.38	$5.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $55.00 / $85.00	Professional		$2.88	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $4.16 / $5.49	Facility		$1.30	$4.16	$5.49
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $4.76 / $5.72	Professional		$2.72	$4.76	$5.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $7.33 / $12.04	Professional		$4.76	$7.33	$12.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $9.32 / $80.00	Facility		$2.86	$9.32	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.86 / $26.50	Professional		$2.43	$2.86	$26.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $2.38 / $3.97	Professional		$1.59	$2.38	$3.97