Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $5.32 / $5.32	Facility		$5.32	$5.32	$5.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.53 / $7.37	Professional		$4.00	$5.53	$7.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.16 / $10.08 / $16.67	Facility		$9.16	$10.08	$16.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.52 / $11.26	Professional		$8.24	$8.52	$11.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $19.60 / $19.60	Facility		$6.58	$19.60	$19.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $24.33 / $37.79	Facility		$5.50	$24.33	$37.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $13.34 / $17.35	Professional		$4.68	$13.34	$17.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $7.45 / $10.53	Facility		$2.50	$7.45	$10.53
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $7.79 / $10.99	Professional		$4.46	$7.79	$10.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $9.16 / $80.00	Facility		$4.46	$9.16	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $4.68 / $10.99	Professional		$3.69	$4.68	$10.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $55.00 / $85.00	Professional		$4.90	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $7.98 / $10.53	Facility		$2.50	$7.98	$10.53
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $7.79 / $10.99	Professional		$4.46	$7.79	$10.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $14.08 / $23.09	Professional		$9.16	$14.08	$23.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $17.89 / $80.00	Facility		$6.62	$17.89	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.67 / $45.62	Professional		$4.68	$5.67	$45.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $9.16	Professional		$9.16	$9.16	$9.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $9.16	Professional		$9.16	$9.16	$9.16
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.57 / $9.16	Professional		$3.24	$4.57	$9.16