Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Facility		$5.50	$5.50	$5.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.61 / $8.39	Professional		$5.50	$5.61	$8.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $10.41 / $17.22	Facility		$9.46	$10.41	$17.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $8.80 / $11.63	Professional		$8.80	$8.80	$11.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.81 / $20.23 / $20.23	Facility		$6.81	$20.23	$20.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $26.13 / $40.59	Facility		$6.26	$26.13	$40.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $14.29 / $17.91	Professional		$5.32	$14.29	$17.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $8.25 / $10.88	Facility		$2.85	$8.25	$10.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $9.46 / $11.35	Professional		$5.97	$9.46	$11.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $9.90 / $80.00	Facility		$5.07	$9.90	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.20 / $10.31	Professional		$4.09	$5.20	$10.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $55.00 / $85.00	Professional		$4.92	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $8.25 / $10.88	Facility		$2.85	$8.25	$10.88
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $9.46 / $11.35	Professional		$5.97	$9.46	$11.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $15.60 / $26.10	Professional		$9.46	$15.60	$26.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $18.48 / $80.00	Facility		$6.26	$18.48	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $6.26 / $52.16	Professional		$5.32	$6.26	$52.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $9.46 / $9.46	Professional		$9.46	$9.46	$9.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $9.46 / $9.46	Professional		$9.46	$9.46	$9.46
United Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $4.72 / $7.87	Professional		$3.41	$4.72	$7.87