Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Facility		$5.62	$5.62	$5.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $6.13 / $7.79	Professional		$4.22	$6.13	$7.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $10.65 / $17.62	Facility		$9.68	$10.65	$17.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $9.00 / $11.90	Professional		$8.36	$9.00	$11.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.95 / $20.72 / $20.72	Facility		$6.95	$20.72	$20.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $26.13 / $40.59	Facility		$5.81	$26.13	$40.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $14.29 / $18.30	Professional		$4.94	$14.29	$18.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $7.87 / $11.13	Facility		$2.65	$7.87	$11.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $8.55 / $11.62	Professional		$5.18	$8.55	$11.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $9.68 / $80.00	Facility		$4.71	$9.68	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $4.88 / $11.23	Professional		$3.91	$4.88	$11.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $55.00 / $85.00	Professional		$5.23	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $8.43 / $11.13	Facility		$2.65	$8.43	$11.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $8.55 / $11.62	Professional		$5.18	$8.55	$11.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $14.87 / $25.09	Professional		$9.68	$14.87	$25.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $18.89 / $80.00	Facility		$5.81	$18.89	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $5.81 / $61.85	Professional		$4.94	$5.81	$61.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $9.68 / $9.68	Professional		$9.68	$9.68	$9.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $9.68 / $9.68	Professional		$9.68	$9.68	$9.68
United Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.82 / $9.25	Professional		$3.22	$4.82	$9.25