Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Facility		$2.69	$2.69	$2.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.69 / $3.37	Professional		$2.49	$2.69	$3.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $5.09 / $8.43	Facility		$4.63	$5.09	$8.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $4.30 / $5.69	Professional		$4.16	$4.30	$5.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $9.91 / $9.91	Facility		$3.33	$9.91	$9.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.60 / $12.62 / $19.59	Facility		$2.60	$12.62	$19.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $6.56 / $8.76	Professional		$1.89	$6.56	$8.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $3.88 / $5.32	Facility		$1.26	$3.88	$5.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.63 / $5.56	Professional		$2.64	$4.63	$5.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $4.84 / $80.00	Facility		$2.25	$4.84	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.31 / $5.05	Professional		$1.85	$2.31	$5.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $55.00 / $85.00	Professional		$2.49	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $4.04 / $5.32	Facility		$1.26	$4.04	$5.32
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.63 / $5.56	Professional		$2.64	$4.63	$5.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $7.13 / $12.04	Professional		$4.63	$7.13	$12.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.60 / $9.03 / $80.00	Facility		$2.60	$9.03	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $2.60 / $20.34	Professional		$1.89	$2.60	$20.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $4.63	Professional		$4.63	$4.63	$4.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $4.63	Professional		$4.63	$4.63	$4.63
United Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $2.31 / $3.97	Professional		$1.54	$2.31	$3.97