Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $2.64 / $7.55	Facility		$2.64	$2.64	$7.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.64 / $3.90	Professional		$1.99	$2.64	$3.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $7.51	Facility		$4.55	$4.55	$7.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.55 / $5.18	Professional		$4.23	$4.55	$5.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $6.83 / $9.74	Facility		$4.55	$6.83	$9.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $5.46 / $10.55	Professional		$4.78	$5.46	$10.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $14.74 / $19.59	Facility		$12.62	$14.74	$19.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $6.56 / $8.60	Professional		$2.31	$6.56	$8.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $3.34 / $4.55	Facility		$2.54	$3.34	$4.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $4.55	Professional		$2.60	$2.60	$4.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $3.70 / $4.75	Facility		$2.54	$3.70	$4.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.57 / $6.24	Professional		$2.11	$2.57	$6.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $65.00 / $85.00	Professional		$0.65	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $3.70 / $4.55	Facility		$2.54	$3.70	$4.55
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $4.55	Professional		$2.60	$2.60	$4.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $6.83 / $12.00	Professional		$4.55	$6.83	$12.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.88 / $9.24 / $80.00	Facility		$8.88	$9.24	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $19.98 / $24.93	Professional		$2.31	$19.98	$24.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.55 / $4.55	Professional		$4.55	$4.55	$4.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.55 / $4.55	Professional		$4.55	$4.55	$4.55
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.27 / $3.78	Professional		$1.91	$2.27	$3.78