Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $5.90 / $16.87	Facility		$5.90	$5.90	$16.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $5.90 / $8.69	Professional		$4.43	$5.90	$8.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $10.16 / $16.76	Facility		$10.16	$10.16	$16.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $10.16 / $11.58	Professional		$9.44	$10.16	$11.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $21.74 / $21.74	Facility		$10.16	$21.74	$21.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.59 / $41.99	Facility		$27.03	$31.59	$41.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $14.53 / $19.23	Professional		$5.19	$14.53	$19.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $8.26 / $10.16	Facility		$5.71	$8.26	$10.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $5.82 / $10.16	Professional		$5.82	$5.82	$10.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $8.36 / $10.62	Facility		$5.76	$8.36	$10.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $5.74 / $12.87	Professional		$4.72	$5.74	$12.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $65.00 / $85.00	Professional		$6.55	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $8.36 / $10.16	Facility		$5.71	$8.36	$10.16
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $5.82 / $10.16	Professional		$5.82	$5.82	$10.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $15.24 / $26.00	Professional		$10.16	$15.24	$26.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $20.62 / $80.00	Facility		$19.84	$20.62	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $44.64 / $50.60	Professional		$5.19	$44.64	$50.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $10.16	Professional		$10.16	$10.16	$10.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $10.16	Professional		$10.16	$10.16	$10.16
United Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $5.07 / $8.44	Professional		$4.26	$5.07	$8.44