Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $5.01 / $6.58	Professional		$3.78	$5.01	$6.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $8.64 / $14.26	Facility		$8.64	$8.64	$14.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $8.64 / $9.84	Professional		$8.03	$8.64	$9.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $18.48 / $18.48	Facility		$8.64	$18.48	$18.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $27.38 / $36.39	Facility		$23.43	$27.38	$36.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $10.23 / $16.36	Professional		$3.52	$10.23	$16.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $7.03 / $8.64	Facility		$4.86	$7.03	$8.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $4.95 / $8.64	Professional		$4.95	$4.95	$8.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $7.13 / $9.03	Facility		$4.90	$7.13	$9.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.88 / $10.96	Professional		$4.01	$4.88	$10.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $58.40 / $85.00	Professional		$4.68	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $7.13 / $8.64	Facility		$4.86	$7.13	$8.64
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $4.95 / $8.64	Professional		$4.95	$4.95	$8.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $12.96 / $22.00	Professional		$8.64	$12.96	$22.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $17.54 / $80.00	Facility		$16.88	$17.54	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.87 / $43.03	Professional		$3.52	$3.87	$43.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $8.64 / $8.64	Professional		$8.64	$8.64	$8.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $8.64 / $8.64	Professional		$8.64	$8.64	$8.64
United Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.30 / $8.01	Professional		$3.50	$4.30	$8.01