Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $3.78 / $3.78	Facility		$3.78	$3.78	$3.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $4.11 / $5.23	Professional		$2.83	$4.11	$5.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $7.15 / $11.83	Facility		$6.50	$7.15	$11.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $6.05 / $7.99	Professional		$5.85	$6.05	$7.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $13.91 / $13.91	Facility		$4.68	$13.91	$13.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $17.12 / $26.59	Facility		$3.90	$17.12	$26.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $9.52 / $12.31	Professional		$3.32	$9.52	$12.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.77 / $5.41 / $7.48	Facility		$1.77	$5.41	$7.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $6.46 / $7.80	Professional		$3.70	$6.46	$7.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $6.80 / $80.00	Facility		$3.15	$6.80	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.30 / $7.50	Professional		$2.75	$3.30	$7.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $55.00 / $85.00	Professional		$3.50	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.77 / $5.67 / $7.48	Facility		$1.77	$5.67	$7.48
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $6.46 / $7.80	Professional		$3.70	$6.46	$7.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $9.99 / $16.05	Professional		$6.50	$9.99	$16.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $12.70 / $80.00	Facility		$3.90	$12.70	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.90 / $32.18	Professional		$3.32	$3.90	$32.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $6.50	Professional		$6.50	$6.50	$6.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $6.50	Professional		$6.50	$6.50	$6.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $3.24 / $6.50	Professional		$2.16	$3.24	$6.50