Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $5.57 / $15.92	Facility		$5.57	$5.57	$15.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $5.57 / $8.22	Professional		$4.19	$5.57	$8.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $9.59 / $15.82	Facility		$9.59	$9.59	$15.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $9.59 / $10.93	Professional		$8.92	$9.59	$10.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $20.52 / $20.52	Facility		$9.59	$20.52	$20.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $30.54 / $40.59	Facility		$26.13	$30.54	$40.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $14.06 / $18.16	Professional		$4.88	$14.06	$18.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $7.80 / $9.59	Facility		$5.39	$7.80	$9.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $9.59	Professional		$5.50	$5.50	$9.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.43 / $7.90 / $10.02	Facility		$5.43	$7.90	$10.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.42 / $12.15	Professional		$4.46	$5.42	$12.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $65.00 / $85.00	Professional		$10.21	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $7.90 / $9.59	Facility		$5.39	$7.90	$9.59
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $9.59	Professional		$5.50	$5.50	$9.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $14.39 / $24.00	Professional		$9.59	$14.39	$24.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $19.47 / $80.00	Facility		$18.73	$19.47	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $42.17 / $47.76	Professional		$4.88	$42.17	$47.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $9.59 / $9.59	Professional		$9.59	$9.59	$9.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $9.59 / $9.59	Professional		$9.59	$9.59	$9.59
United Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $4.78 / $7.97	Professional		$4.03	$4.78	$7.97