Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $3.79 / $3.79	Facility		$3.79	$3.79	$3.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $4.13 / $5.26	Professional		$3.79	$4.13	$5.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.53 / $7.18 / $11.88	Facility		$6.53	$7.18	$11.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $6.07 / $8.02	Professional		$5.97	$6.07	$8.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $7.84 / $13.97	Facility		$4.70	$7.84	$13.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $6.86 / $9.14	Professional		$6.53	$6.86	$9.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $19.00 / $26.59	Facility		$3.93	$19.00	$26.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $9.52 / $12.36	Professional		$3.34	$9.52	$12.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $5.65 / $7.51	Facility		$3.79	$5.65	$7.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $7.84 / $7.84	Professional		$6.53	$7.84	$7.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $6.82 / $80.00	Facility		$4.07	$6.82	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $3.26 / $7.12	Professional		$2.60	$3.26	$7.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $55.00 / $85.00	Professional		$3.56	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $5.69 / $7.51	Facility		$3.79	$5.69	$7.51
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $7.84 / $7.84	Professional		$6.53	$7.84	$7.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $10.05 / $17.05	Professional		$6.53	$10.05	$17.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $12.76 / $80.00	Facility		$3.93	$12.76	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $3.93 / $32.52	Professional		$3.34	$3.93	$32.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $6.53 / $6.53	Professional		$6.53	$6.53	$6.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $6.53 / $6.53	Professional		$6.53	$6.53	$6.53
United Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $3.26 / $5.52	Professional		$2.17	$3.26	$5.52