Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $5.04 / $14.43	Facility		$5.04	$5.04	$14.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $5.04 / $7.44	Professional		$2.54	$5.04	$7.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $8.69 / $14.34	Facility		$8.69	$8.69	$14.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $8.69 / $9.90	Professional		$8.08	$8.69	$9.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $18.60 / $18.60	Facility		$8.69	$18.60	$18.60
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 $4.45 / $12.66 / $16.45	Professional		$4.45	$12.66	$16.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $7.06 / $8.69	Facility		$4.88	$7.06	$8.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $4.98 / $8.69	Professional		$4.98	$4.98	$8.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.92 / $7.17 / $9.07	Facility		$4.92	$7.17	$9.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.92 / $11.28	Professional		$4.04	$4.92	$11.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $58.40 / $85.00	Professional		$2.80	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $7.17 / $8.69	Facility		$4.88	$7.17	$8.69
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $4.98 / $8.69	Professional		$4.98	$4.98	$8.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $13.04 / $22.00	Professional		$8.69	$13.04	$22.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $17.64 / $80.00	Facility		$16.98	$17.64	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $38.21 / $43.28	Professional		$4.45	$38.21	$43.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $8.69 / $8.69	Professional		$8.69	$8.69	$8.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $8.69 / $8.69	Professional		$8.69	$8.69	$8.69
United Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $4.34 / $8.10	Professional		$3.65	$4.34	$8.10