Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $4.91 / $14.04	Facility		$4.91	$4.91	$14.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $4.91 / $7.25	Professional		$3.70	$4.91	$7.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $8.46 / $13.96	Facility		$8.46	$8.46	$13.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $8.46 / $9.64	Professional		$7.87	$8.46	$9.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $18.10 / $18.10	Facility		$8.46	$18.10	$18.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $34.99	Facility		$22.53	$26.33	$34.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $12.19 / $16.01	Professional		$4.32	$12.19	$16.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $6.98 / $12.73	Facility		$4.75	$6.98	$12.73
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $8.46	Professional		$4.86	$4.86	$8.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $6.98 / $19.04	Facility		$4.86	$6.98	$19.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $4.78 / $10.72	Professional		$3.94	$4.78	$10.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $65.00 / $85.00	Professional		$4.80	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $6.98 / $12.73	Facility		$4.75	$6.98	$12.73
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $8.46	Professional		$4.86	$4.86	$8.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $12.69 / $21.00	Professional		$8.46	$12.69	$21.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $17.17 / $80.00	Facility		$16.52	$17.17	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $37.17 / $42.13	Professional		$4.32	$37.17	$42.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $8.46 / $8.46	Professional		$8.46	$8.46	$8.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $8.46 / $8.46	Professional		$8.46	$8.46	$8.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.22 / $7.04	Professional		$2.82	$4.22	$7.04