Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.91 / $6.91 / $6.91	Facility		$6.91	$6.91	$6.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $7.53 / $9.58	Professional		$6.91	$7.53	$9.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $13.09 / $21.66	Facility		$11.90	$13.09	$21.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.07 / $14.63	Professional		$10.54	$11.07	$14.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.56 / $25.47 / $25.47	Facility		$8.56	$25.47	$25.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $35.00 / $48.98	Facility		$7.15	$35.00	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $17.62 / $22.53	Professional		$6.08	$17.62	$22.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $9.97 / $13.69	Facility		$3.26	$9.97	$13.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $11.90 / $14.28	Professional		$6.82	$11.90	$14.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $12.44 / $80.00	Facility		$5.79	$12.44	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $5.93 / $12.96	Professional		$4.74	$5.93	$12.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $55.00 / $85.00	Professional		$5.85	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $10.37 / $13.69	Facility		$3.26	$10.37	$13.69
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $11.90 / $14.28	Professional		$6.82	$11.90	$14.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $18.30 / $30.11	Professional		$11.90	$18.30	$30.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $23.24 / $80.00	Facility		$7.15	$23.24	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $7.15 / $59.26	Professional		$6.08	$7.15	$59.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $11.90 / $11.90	Professional		$11.90	$11.90	$11.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $11.90 / $11.90	Professional		$11.90	$11.90	$11.90
United Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $5.93 / $10.06	Professional		$3.96	$5.93	$10.06