Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $5.29 / $5.29	Facility		$5.29	$5.29	$5.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.77 / $7.33	Professional		$5.29	$5.77	$7.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $10.02 / $16.57	Facility		$9.11	$10.02	$16.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $8.47 / $11.20	Professional		$8.33	$8.47	$11.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $19.50 / $19.50	Facility		$6.55	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $27.00 / $37.79	Facility		$5.47	$27.00	$37.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $13.34 / $17.25	Professional		$4.65	$13.34	$17.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $7.63 / $10.48	Facility		$2.49	$7.63	$10.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $9.11 / $10.93	Professional		$5.21	$9.11	$10.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $9.52 / $80.00	Facility		$4.42	$9.52	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.54 / $9.92	Professional		$3.63	$4.54	$9.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $55.00 / $85.00	Professional		$5.39	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $7.94 / $10.48	Facility		$2.49	$7.94	$10.48
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $9.11 / $10.93	Professional		$5.21	$9.11	$10.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $14.00 / $23.09	Professional		$9.11	$14.00	$23.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $17.80 / $80.00	Facility		$5.47	$17.80	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $5.47 / $45.37	Professional		$4.65	$5.47	$45.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.11 / $9.11	Professional		$9.11	$9.11	$9.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.11 / $9.11	Professional		$9.11	$9.11	$9.11
United Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $4.54 / $7.70	Professional		$3.03	$4.54	$7.70