Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Facility		$4.87	$4.87	$4.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $5.31 / $6.76	Professional		$4.87	$5.31	$6.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $9.24 / $15.29	Facility		$8.40	$9.24	$15.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $7.81 / $10.33	Professional		$7.26	$7.81	$10.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.04 / $17.98 / $17.98	Facility		$6.04	$17.98	$17.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $22.53 / $34.99	Facility		$5.04	$22.53	$34.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $12.38 / $15.89	Professional		$4.28	$12.38	$15.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $7.03 / $9.66	Facility		$2.29	$7.03	$9.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $8.40 / $10.08	Professional		$4.80	$8.40	$10.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $8.77 / $80.00	Facility		$4.09	$8.77	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $4.19 / $9.14	Professional		$3.29	$4.19	$9.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $55.00 / $85.00	Professional		$3.43	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $7.31 / $9.66	Facility		$2.29	$7.31	$9.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $8.40 / $10.08	Professional		$4.80	$8.40	$10.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $12.90 / $21.08	Professional		$8.40	$12.90	$21.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $16.39 / $80.00	Facility		$5.04	$16.39	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.04 / $41.83	Professional		$4.28	$5.04	$41.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $8.40 / $8.40	Professional		$8.40	$8.40	$8.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $8.40 / $8.40	Professional		$8.40	$8.40	$8.40
United Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $4.19 / $7.20	Professional		$2.79	$4.19	$7.20