Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $4.63 / $4.63	Facility		$4.63	$4.63	$4.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $5.05 / $6.44	Professional		$4.49	$5.05	$6.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.80 / $14.56	Facility		$8.00	$8.80	$14.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.44 / $9.84	Professional		$7.20	$7.44	$9.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $9.60 / $17.12	Facility		$5.76	$9.60	$17.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.40 / $11.20	Professional		$8.00	$8.40	$11.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $24.00 / $33.59	Facility		$4.80	$24.00	$33.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $11.91 / $15.14	Professional		$4.08	$11.91	$15.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $6.70 / $9.19	Facility		$2.20	$6.70	$9.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $8.00 / $9.60	Professional		$4.59	$8.00	$9.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $8.35 / $80.00	Facility		$3.90	$8.35	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $4.04 / $8.71	Professional		$3.19	$4.04	$8.71
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 $2.20 / $6.96 / $9.19	Facility		$2.20	$6.96	$9.19
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $8.00 / $9.60	Professional		$4.59	$8.00	$9.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $12.31 / $20.07	Professional		$8.00	$12.31	$20.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $15.62 / $80.00	Facility		$4.80	$15.62	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $4.80 / $39.84	Professional		$4.08	$4.80	$39.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.99 / $6.86	Professional		$2.66	$3.99	$6.86