Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $2.58 / $2.58	Facility		$2.58	$2.58	$2.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $2.81 / $3.58	Professional		$2.58	$2.81	$3.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $4.88 / $8.08	Facility		$4.44	$4.88	$8.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $5.46	Professional		$4.13	$4.13	$5.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $9.50 / $9.50	Facility		$3.19	$9.50	$9.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.67 / $11.71 / $18.19	Facility		$2.67	$11.71	$18.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $6.67 / $8.41	Professional		$2.27	$6.67	$8.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $3.67 / $5.11	Facility		$1.22	$3.67	$5.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.44 / $5.33	Professional		$2.54	$4.44	$5.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $4.63 / $80.00	Facility		$2.16	$4.63	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.21 / $4.84	Professional		$1.77	$2.21	$4.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $55.00 / $85.00	Professional		$2.51	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $3.87 / $5.11	Facility		$1.22	$3.87	$5.11
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.44 / $5.33	Professional		$2.54	$4.44	$5.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $6.84 / $11.04	Professional		$4.44	$6.84	$11.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.67 / $8.68 / $80.00	Facility		$2.67	$8.68	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.67 / $21.98	Professional		$2.27	$2.67	$21.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $4.44 / $4.44	Professional		$4.44	$4.44	$4.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $4.44 / $4.44	Professional		$4.44	$4.44	$4.44
United Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.21 / $4.44	Professional		$1.48	$2.21	$4.44