Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $7.73 / $17.05	Facility		$5.97	$7.73	$17.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $5.97 / $8.81	Professional		$4.49	$5.97	$8.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $10.28 / $16.96	Facility		$10.28	$10.28	$16.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $10.28 / $11.71	Professional		$9.56	$10.28	$11.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.66 / $15.42 / $22.00	Facility		$7.66	$15.42	$22.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $10.88 / $23.83	Professional		$7.75	$10.88	$23.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $32.64 / $43.39	Facility		$27.93	$32.64	$43.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $15.00 / $19.46	Professional		$5.25	$15.00	$19.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $8.36 / $10.28	Facility		$5.78	$8.36	$10.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $5.88 / $10.28	Professional		$5.88	$5.88	$10.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $8.47 / $10.79	Facility		$5.83	$8.47	$10.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $5.82 / $13.03	Professional		$4.78	$5.82	$13.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $65.00 / $85.00	Professional		$7.08	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $8.47 / $10.28	Facility		$5.78	$8.47	$10.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $5.88 / $10.28	Professional		$5.88	$5.88	$10.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $15.42 / $26.00	Professional		$10.28	$15.42	$26.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $20.87 / $80.00	Facility		$20.07	$20.87	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $45.18 / $51.19	Professional		$5.25	$45.18	$51.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.28 / $10.28	Professional		$10.28	$10.28	$10.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.28 / $10.28	Professional		$10.28	$10.28	$10.28
United Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $5.13 / $9.52	Professional		$4.32	$5.13	$9.52