Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $3.03 / $3.03	Facility		$3.03	$3.03	$3.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.30 / $4.19	Professional		$2.93	$3.30	$4.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.21 / $5.73 / $9.48	Facility		$5.21	$5.73	$9.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.84 / $6.40	Professional		$4.76	$4.84	$6.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $11.15 / $11.15	Facility		$3.75	$11.15	$11.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $16.00 / $22.39	Facility		$3.13	$16.00	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $7.62 / $9.86	Professional		$2.66	$7.62	$9.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $4.36 / $5.99	Facility		$1.42	$4.36	$5.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $5.21 / $6.25	Professional		$2.98	$5.21	$6.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $5.45 / $80.00	Facility		$2.52	$5.45	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.60 / $5.67	Professional		$2.06	$2.60	$5.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $55.00 / $85.00	Professional		$3.16	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $4.55 / $5.99	Facility		$1.42	$4.55	$5.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $5.21 / $6.25	Professional		$2.98	$5.21	$6.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $8.00 / $13.05	Professional		$5.21	$8.00	$13.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $10.18 / $80.00	Facility		$3.13	$10.18	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.13 / $25.95	Professional		$2.66	$3.13	$25.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $5.21 / $5.21	Professional		$5.21	$5.21	$5.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $5.21 / $5.21	Professional		$5.21	$5.21	$5.21
United Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $2.60 / $4.40	Professional		$1.73	$2.60	$4.40