Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $5.04 / $5.04	Facility		$5.04	$5.04	$5.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $5.49 / $7.00	Professional		$4.87	$5.49	$7.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $9.53 / $15.78	Facility		$8.67	$9.53	$15.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $8.06 / $10.66	Professional		$7.80	$8.06	$10.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.24 / $10.40 / $18.55	Facility		$6.24	$10.40	$18.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $9.10 / $12.14	Professional		$8.67	$9.10	$12.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $26.00 / $36.39	Facility		$5.22	$26.00	$36.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $12.86 / $16.41	Professional		$4.44	$12.86	$16.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.38 / $7.27 / $9.97	Facility		$2.38	$7.27	$9.97
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $8.67 / $10.40	Professional		$4.98	$8.67	$10.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $9.07 / $80.00	Facility		$4.23	$9.07	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $4.44 / $9.44	Professional		$3.46	$4.44	$9.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $55.00 / $85.00	Professional		$5.14	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.38 / $7.56 / $9.97	Facility		$2.38	$7.56	$9.97
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $8.67 / $10.40	Professional		$4.98	$8.67	$10.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $13.39 / $22.08	Professional		$8.67	$13.39	$22.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $16.94 / $80.00	Facility		$5.22	$16.94	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $5.22 / $43.18	Professional		$4.44	$5.22	$43.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $8.67 / $8.67	Professional		$8.67	$8.67	$8.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $8.67 / $8.67	Professional		$8.67	$8.67	$8.67
United Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $4.33 / $7.35	Professional		$2.89	$4.33	$7.35