Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $5.96 / $17.03	Facility		$5.96	$5.96	$17.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $5.96 / $8.78	Professional		$4.48	$5.96	$8.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $10.26 / $16.93	Facility		$10.26	$10.26	$16.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $10.26 / $11.69	Professional		$9.53	$10.26	$11.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $21.96 / $21.96	Facility		$10.26	$21.96	$21.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $23.78 / $23.78	Professional		$23.78	$23.78	$23.78
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 $5.24 / $15.00 / $19.43	Professional		$5.24	$15.00	$19.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $8.34 / $10.26	Facility		$5.76	$8.34	$10.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $5.87 / $10.26	Professional		$5.87	$5.87	$10.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $8.44 / $10.73	Facility		$5.81	$8.44	$10.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $5.80 / $13.01	Professional		$4.76	$5.80	$13.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $65.00 / $85.00	Professional		$1.70	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $8.44 / $10.26	Facility		$5.76	$8.44	$10.26
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $5.87 / $10.26	Professional		$5.87	$5.87	$10.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $15.39 / $26.00	Professional		$10.26	$15.39	$26.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $20.83 / $80.00	Facility		$20.04	$20.83	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $45.09 / $51.09	Professional		$5.24	$45.09	$51.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.26 / $10.26	Professional		$10.26	$10.26	$10.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.26 / $10.26	Professional		$10.26	$10.26	$10.26
United Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.12 / $9.81	Professional		$4.30	$5.12	$9.81