Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $2.92 / $8.35	Facility		$2.92	$2.92	$8.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.92 / $4.30	Professional		$2.21	$2.92	$4.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $5.03 / $8.30	Facility		$5.03	$5.03	$8.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.03 / $5.73	Professional		$4.68	$5.03	$5.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $10.76 / $10.76	Facility		$5.03	$10.76	$10.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $15.80 / $20.99	Facility		$13.52	$15.80	$20.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $7.50 / $9.51	Professional		$2.58	$7.50	$9.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.83 / $3.70 / $5.03	Facility		$2.83	$3.70	$5.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $2.89 / $5.03	Professional		$2.89	$2.89	$5.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $4.09 / $5.26	Facility		$2.86	$4.09	$5.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.85 / $6.38	Professional		$2.35	$2.85	$6.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $65.00 / $85.00	Professional		$2.57	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.83 / $4.09 / $5.03	Facility		$2.83	$4.09	$5.03
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $2.89 / $5.03	Professional		$2.89	$2.89	$5.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $7.55 / $13.00	Professional		$5.03	$7.55	$13.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $10.21 / $80.00	Facility		$9.82	$10.21	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $22.10 / $25.05	Professional		$2.58	$22.10	$25.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.03 / $5.03	Professional		$5.03	$5.03	$5.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.03 / $5.03	Professional		$5.03	$5.03	$5.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.50 / $4.19	Professional		$2.12	$2.50	$4.19