Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $4.86 / $4.86	Facility		$4.86	$4.86	$4.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $5.30 / $6.74	Professional		$4.86	$5.30	$6.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $9.22 / $15.25	Facility		$8.38	$9.22	$15.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $7.79 / $10.30	Professional		$7.54	$7.79	$10.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $17.93 / $17.93	Facility		$6.03	$17.93	$17.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $25.00 / $34.99	Facility		$5.03	$25.00	$34.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $12.38 / $15.85	Professional		$4.28	$12.38	$15.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $7.01 / $9.64	Facility		$2.29	$7.01	$9.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $8.38 / $10.06	Professional		$4.80	$8.38	$10.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $8.75 / $80.00	Facility		$4.08	$8.75	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $4.18 / $9.11	Professional		$3.34	$4.18	$9.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $55.00 / $85.00	Professional		$3.95	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $7.29 / $9.64	Facility		$2.29	$7.29	$9.64
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $8.38 / $10.06	Professional		$4.80	$8.38	$10.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $12.85 / $21.08	Professional		$8.38	$12.85	$21.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $16.36 / $80.00	Facility		$5.03	$16.36	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.03 / $41.73	Professional		$4.28	$5.03	$41.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
United Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $4.18 / $6.96	Professional		$2.78	$4.18	$6.96