Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $2.90 / $2.90	Facility		$2.90	$2.90	$2.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $3.17 / $4.03	Professional		$2.81	$3.17	$4.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.50 / $9.10	Facility		$5.00	$5.50	$9.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.65 / $6.15	Professional		$4.50	$4.65	$6.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $6.00 / $10.70	Facility		$3.59	$6.00	$10.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.25 / $7.00	Professional		$5.00	$5.25	$7.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $15.00 / $20.99	Facility		$3.01	$15.00	$20.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $8.33 / $9.46	Professional		$2.56	$8.33	$9.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $4.19 / $5.75	Facility		$1.37	$4.19	$5.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $5.00 / $6.00	Professional		$2.86	$5.00	$6.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.43 / $5.22 / $80.00	Facility		$2.43	$5.22	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.52 / $5.45	Professional		$2.00	$2.52	$5.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.28 / $55.00 / $85.00	Professional		$2.28	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $4.34 / $5.75	Facility		$1.37	$4.34	$5.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $5.00 / $6.00	Professional		$2.86	$5.00	$6.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.70 / $13.05	Professional		$5.00	$7.70	$13.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $9.76 / $80.00	Facility		$3.01	$9.76	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $5.12 / $24.90	Professional		$2.56	$5.12	$24.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.50 / $4.23	Professional		$1.66	$2.50	$4.23