Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $3.86 / $3.86	Facility		$3.86	$3.86	$3.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $4.21 / $5.36	Professional		$3.73	$4.21	$5.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $7.32 / $12.10	Facility		$6.65	$7.32	$12.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $6.18 / $8.17	Professional		$5.98	$6.18	$8.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $14.23 / $14.23	Facility		$4.79	$14.23	$14.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $20.00 / $27.99	Facility		$4.00	$20.00	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $10.00 / $12.58	Professional		$3.40	$10.00	$12.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $5.57 / $7.65	Facility		$1.82	$5.57	$7.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.65 / $7.98	Professional		$3.80	$6.65	$7.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $6.95 / $80.00	Facility		$3.23	$6.95	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $3.32 / $7.24	Professional		$2.65	$3.32	$7.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $55.00 / $85.00	Professional		$2.43	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $5.79 / $7.65	Facility		$1.82	$5.79	$7.65
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.65 / $7.98	Professional		$3.80	$6.65	$7.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $10.25 / $17.05	Professional		$6.65	$10.25	$17.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $12.98 / $80.00	Facility		$4.00	$12.98	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.00 / $33.11	Professional		$3.40	$4.00	$33.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $6.65 / $6.65	Professional		$6.65	$6.65	$6.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $6.65 / $6.65	Professional		$6.65	$6.65	$6.65
United Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $3.32 / $6.65	Professional		$2.21	$3.32	$6.65