Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $7.11 / $7.11	Facility		$7.11	$7.11	$7.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $7.75 / $9.86	Professional		$5.71	$7.75	$9.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $13.46 / $22.28	Facility		$12.24	$13.46	$22.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $11.38 / $15.05	Professional		$10.64	$11.38	$15.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.81 / $14.69 / $26.19	Facility		$8.81	$14.69	$26.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $12.85 / $17.14	Professional		$12.24	$12.85	$17.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $36.00 / $50.38	Facility		$7.35	$36.00	$50.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $18.10 / $23.16	Professional		$6.25	$18.10	$23.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $10.25 / $14.08	Facility		$3.35	$10.25	$14.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $12.24 / $14.69	Professional		$7.01	$12.24	$14.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $12.80 / $80.00	Facility		$5.96	$12.80	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.17 / $13.33	Professional		$4.88	$6.17	$13.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $55.00 / $85.00	Professional		$5.87	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $10.67 / $14.08	Facility		$3.35	$10.67	$14.08
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $12.24 / $14.69	Professional		$7.01	$12.24	$14.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $18.84 / $31.11	Professional		$12.24	$18.84	$31.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $23.90 / $80.00	Facility		$7.35	$23.90	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $7.35 / $60.96	Professional		$6.25	$7.35	$60.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $12.24 / $12.24	Professional		$12.24	$12.24	$12.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $12.24 / $12.24	Professional		$12.24	$12.24	$12.24
United Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $5.58 / $7.79	Facility		$4.12	$5.58	$7.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.11 / $10.35	Professional		$4.07	$6.11	$10.35