Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Facility		$4.47	$4.47	$4.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.87 / $6.20	Professional		$4.47	$4.87	$6.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $8.47 / $14.01	Facility		$7.70	$8.47	$14.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $7.16 / $9.47	Professional		$7.16	$7.16	$9.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.54 / $16.48 / $16.48	Facility		$5.54	$16.48	$16.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $23.00 / $32.19	Facility		$4.62	$23.00	$32.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $11.43 / $14.58	Professional		$3.93	$11.43	$14.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $6.45 / $8.86	Facility		$2.11	$6.45	$8.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $7.70 / $9.24	Professional		$4.40	$7.70	$9.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $8.05 / $80.00	Facility		$3.74	$8.05	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.84 / $8.39	Professional		$3.07	$3.84	$8.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $6.71 / $8.86	Facility		$2.11	$6.71	$8.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $7.70 / $9.24	Professional		$4.40	$7.70	$9.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $11.87 / $20.07	Professional		$7.70	$11.87	$20.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $15.04 / $80.00	Facility		$4.62	$15.04	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $4.62 / $38.35	Professional		$3.93	$4.62	$38.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $7.70 / $7.70	Professional		$7.70	$7.70	$7.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $7.70 / $7.70	Professional		$7.70	$7.70	$7.70
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.84 / $6.51	Professional		$2.56	$3.84	$6.51