Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $3.82 / $3.82	Facility		$3.82	$3.82	$3.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $4.07 / $5.31	Professional		$3.82	$4.07	$5.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $7.24 / $11.98	Facility		$6.58	$7.24	$11.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.12 / $8.09	Professional		$6.12	$6.12	$8.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $14.08 / $14.08	Facility		$4.74	$14.08	$14.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $18.02 / $27.99	Facility		$3.96	$18.02	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $9.52 / $12.46	Professional		$3.37	$9.52	$12.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $5.52 / $7.57	Facility		$1.80	$5.52	$7.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $5.59 / $7.90	Professional		$3.76	$5.59	$7.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $6.88 / $80.00	Facility		$3.20	$6.88	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.36 / $7.61	Professional		$2.66	$3.36	$7.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $55.00 / $85.00	Professional		$0.63	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $5.73 / $7.57	Facility		$1.80	$5.73	$7.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $5.59 / $7.90	Professional		$3.76	$5.59	$7.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $10.16 / $17.05	Professional		$6.58	$10.16	$17.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $12.86 / $80.00	Facility		$3.96	$12.86	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.96 / $31.58	Professional		$3.37	$3.96	$31.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $6.58 / $6.58	Professional		$6.58	$6.58	$6.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $6.58 / $6.58	Professional		$6.58	$6.58	$6.58
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.29 / $6.14	Professional		$2.19	$3.29	$6.14