Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $4.28 / $12.23	Facility		$4.28	$4.28	$12.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $4.28 / $6.32	Professional		$3.23	$4.28	$6.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $7.37 / $12.16	Facility		$7.37	$7.37	$12.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $7.37 / $8.40	Professional		$6.85	$7.37	$8.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $15.77 / $15.77	Facility		$7.37	$15.77	$15.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $23.17 / $30.79	Facility		$19.82	$23.17	$30.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $10.78 / $13.95	Professional		$3.77	$10.78	$13.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $5.41 / $7.37	Facility		$4.13	$5.41	$7.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $7.37	Professional		$4.23	$4.23	$7.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $5.99 / $7.70	Facility		$4.18	$5.99	$7.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.18 / $9.35	Professional		$3.43	$4.18	$9.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $65.00 / $85.00	Professional		$4.42	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $5.99 / $7.37	Facility		$4.13	$5.99	$7.37
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $7.37	Professional		$4.23	$4.23	$7.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $11.06 / $19.00	Professional		$7.37	$11.06	$19.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $14.96 / $80.00	Facility		$14.40	$14.96	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $32.40 / $36.70	Professional		$3.77	$32.40	$36.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $7.37 / $7.37	Professional		$7.37	$7.37	$7.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $7.37 / $7.37	Professional		$7.37	$7.37	$7.37
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.68 / $6.14	Professional		$3.11	$3.68	$6.14