Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.91 / $2.91 / $2.91	Facility		$2.91	$2.91	$2.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $3.18 / $4.04	Professional		$2.81	$3.18	$4.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.51 / $9.11	Facility		$5.01	$5.51	$9.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.66 / $6.16	Professional		$4.59	$4.66	$6.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $10.72 / $10.72	Facility		$3.61	$10.72	$10.72
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 / $7.14 / $9.48	Professional		$2.56	$7.14	$9.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $4.20 / $5.76	Facility		$1.37	$4.20	$5.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $5.01 / $6.01	Professional		$2.87	$5.01	$6.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $5.24 / $80.00	Facility		$2.44	$5.24	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.52 / $5.46	Professional		$2.00	$2.52	$5.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $55.00 / $85.00	Professional		$2.97	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $4.37 / $5.76	Facility		$1.37	$4.37	$5.76
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $5.01 / $6.01	Professional		$2.87	$5.01	$6.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.71 / $13.05	Professional		$5.01	$7.71	$13.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $9.77 / $80.00	Facility		$3.01	$9.77	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.01 / $24.95	Professional		$2.56	$3.01	$24.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
United Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.50 / $4.24	Professional		$1.67	$2.50	$4.24