Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $2.72 / $2.72	Facility		$2.72	$2.72	$2.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.96 / $3.77	Professional		$2.72	$2.96	$3.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $5.16 / $8.53	Facility		$4.69	$5.16	$8.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $4.36 / $5.76	Professional		$4.22	$4.36	$5.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $10.03 / $10.03	Facility		$3.37	$10.03	$10.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $14.00 / $19.59	Facility		$2.81	$14.00	$19.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $6.67 / $8.88	Professional		$2.39	$6.67	$8.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $3.92 / $5.39	Facility		$1.28	$3.92	$5.39
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $4.69 / $5.63	Professional		$2.67	$4.69	$5.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $4.90 / $80.00	Facility		$2.27	$4.90	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $2.33 / $5.09	Professional		$1.87	$2.33	$5.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $55.00 / $85.00	Professional		$2.83	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $4.08 / $5.39	Facility		$1.28	$4.08	$5.39
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $4.69 / $5.63	Professional		$2.67	$4.69	$5.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $7.20 / $12.04	Professional		$4.69	$7.20	$12.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $9.16 / $80.00	Facility		$2.81	$9.16	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.81 / $23.36	Professional		$2.39	$2.81	$23.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
United Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $2.33 / $4.69	Professional		$1.56	$2.33	$4.69