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 $2.87 / $3.05 / $3.60	Professional		$2.87	$3.05	$3.60
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 $4.59 / $4.59 / $6.07	Professional		$4.59	$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 $2.86 / $13.52 / $20.99	Facility		$2.86	$13.52	$20.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $7.03 / $9.34	Professional		$2.02	$7.03	$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 $2.74 / $4.94 / $5.93	Professional		$2.74	$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 $1.94 / $2.46 / $5.38	Professional		$1.94	$2.46	$5.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $55.00 / $85.00	Professional		$2.83	$55.00	$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 $2.74 / $4.94 / $5.93	Professional		$2.74	$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 $2.86 / $9.64 / $80.00	Facility		$2.86	$9.64	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.86 / $21.69	Professional		$2.02	$2.86	$21.69
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 / $4.94	Professional		$1.64	$2.46	$4.94