Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.05 / $3.05 / $3.05	Facility		$3.05	$3.05	$3.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $3.33 / $4.23	Professional		$3.05	$3.33	$4.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.78 / $9.56	Facility		$5.25	$5.78	$9.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $4.88 / $6.45	Professional		$4.72	$4.88	$6.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $11.24 / $11.24	Facility		$3.78	$11.24	$11.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $16.00 / $22.39	Facility		$3.51	$16.00	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $7.50 / $9.94	Professional		$2.98	$7.50	$9.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.44 / $4.40 / $6.04	Facility		$1.44	$4.40	$6.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $5.25 / $6.30	Professional		$3.01	$5.25	$6.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.56 / $5.49 / $80.00	Facility		$2.56	$5.49	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.62 / $5.72	Professional		$2.09	$2.62	$5.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $55.00 / $85.00	Professional		$3.11	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.44 / $4.58 / $6.04	Facility		$1.44	$4.58	$6.04
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $5.25 / $6.30	Professional		$3.01	$5.25	$6.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.09 / $13.05	Professional		$5.25	$8.09	$13.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $10.26 / $80.00	Facility		$3.51	$10.26	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.51 / $26.15	Professional		$2.98	$3.51	$26.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.62 / $4.44	Professional		$1.75	$2.62	$4.44