Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $5.14 / $14.69	Facility		$5.14	$5.14	$14.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $5.14 / $7.58	Professional		$3.87	$5.14	$7.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.85 / $8.85 / $14.60	Facility		$8.85	$8.85	$14.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $8.85 / $10.08	Professional		$8.23	$8.85	$10.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.85 / $18.94 / $18.94	Facility		$8.85	$18.94	$18.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $27.38 / $36.39	Facility		$23.43	$27.38	$36.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $12.66 / $16.75	Professional		$4.51	$12.66	$16.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $7.20 / $8.85	Facility		$4.97	$7.20	$8.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $5.07 / $8.85	Professional		$5.07	$5.07	$8.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.29 / $9.25	Facility		$5.01	$7.29	$9.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $5.01 / $12.28	Professional		$4.12	$5.01	$12.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $65.00 / $85.00	Professional		$0.84	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $7.29 / $8.85	Facility		$4.97	$7.29	$8.85
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $5.07 / $8.85	Professional		$5.07	$5.07	$8.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $13.28 / $22.00	Professional		$8.85	$13.28	$22.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $17.97 / $80.00	Facility		$17.28	$17.97	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $38.88 / $49.05	Professional		$4.51	$38.88	$49.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $8.85 / $8.85	Professional		$8.85	$8.85	$8.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $8.85 / $8.85	Professional		$8.85	$8.85	$8.85
United Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $4.42 / $8.19	Professional		$3.59	$4.42	$8.19