Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $2.87 / $2.87	Facility		$2.87	$2.87	$2.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $3.12 / $3.97	Professional		$2.77	$3.12	$3.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $5.43 / $8.99	Facility		$4.94	$5.43	$8.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $4.59 / $6.07	Professional		$4.44	$4.59	$6.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $10.57 / $10.57	Facility		$3.54	$10.57	$10.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.97 / $13.52 / $20.99	Facility		$2.97	$13.52	$20.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $7.14 / $9.34	Professional		$2.52	$7.14	$9.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $4.13 / $5.68	Facility		$1.35	$4.13	$5.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.94 / $5.93	Professional		$2.82	$4.94	$5.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $5.17 / $80.00	Facility		$2.39	$5.17	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.46 / $5.38	Professional		$1.93	$2.46	$5.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $4.30 / $5.68	Facility		$1.35	$4.30	$5.68
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.94 / $5.93	Professional		$2.82	$4.94	$5.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $7.58 / $13.05	Professional		$4.94	$7.58	$13.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.97 / $9.64 / $80.00	Facility		$2.97	$9.64	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.97 / $24.60	Professional		$2.52	$2.97	$24.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $4.94 / $4.94	Professional		$4.94	$4.94	$4.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $4.94 / $4.94	Professional		$4.94	$4.94	$4.94
United Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $2.46 / $4.17	Professional		$1.64	$2.46	$4.17