Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.67 / $4.67 / $4.67	Facility		$4.67	$4.67	$4.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $5.09 / $6.49	Professional		$4.67	$5.09	$6.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $8.86 / $14.65	Facility		$8.05	$8.86	$14.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $7.49 / $9.90	Professional		$7.37	$7.49	$9.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $17.23 / $17.23	Facility		$5.80	$17.23	$17.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $24.00 / $33.59	Facility		$4.84	$24.00	$33.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $11.91 / $15.24	Professional		$4.12	$11.91	$15.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.67 / $6.96 / $9.26	Facility		$4.67	$6.96	$9.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $9.66 / $9.66	Professional		$8.05	$9.66	$9.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $8.41 / $75.00	Facility		$5.01	$8.41	$75.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $4.01 / $8.76	Professional		$3.21	$4.01	$8.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $55.00 / $85.00	Professional		$4.47	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.67 / $7.01 / $9.26	Facility		$4.67	$7.01	$9.26
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $9.66 / $9.66	Professional		$8.05	$9.66	$9.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $12.39 / $20.07	Professional		$8.05	$12.39	$20.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $15.72 / $75.00	Facility		$4.84	$15.72	$75.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.84 / $40.09	Professional		$4.12	$4.84	$40.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $8.05 / $8.05	Professional		$8.05	$8.05	$8.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $8.05 / $8.05	Professional		$8.05	$8.05	$8.05
United Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $4.01 / $6.70	Professional		$2.68	$4.01	$6.70