Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $2.46 / $7.06	Facility		$2.46	$2.46	$7.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.46 / $3.64	Professional		$1.85	$2.46	$3.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $4.25 / $7.01	Facility		$4.25	$4.25	$7.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $4.25 / $4.84	Professional		$3.95	$4.25	$4.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $9.10 / $9.10	Facility		$4.25	$9.10	$9.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $13.69 / $18.19	Facility		$11.71	$13.69	$18.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $6.09 / $8.03	Professional		$2.17	$6.09	$8.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.38 / $3.12 / $4.25	Facility		$2.38	$3.12	$4.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.42 / $4.25	Professional		$2.42	$2.42	$4.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $3.44 / $4.43	Facility		$2.41	$3.44	$4.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $2.40 / $5.38	Professional		$1.97	$2.40	$5.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $65.00 / $85.00	Professional		$1.35	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.38 / $3.44 / $4.25	Facility		$2.38	$3.44	$4.25
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.42 / $4.25	Professional		$2.42	$2.42	$4.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $6.38 / $11.00	Professional		$4.25	$6.38	$11.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $8.63 / $80.00	Facility		$8.30	$8.63	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $18.68 / $21.17	Professional		$2.17	$18.68	$21.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $4.25	Professional		$4.25	$4.25	$4.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $4.25	Professional		$4.25	$4.25	$4.25
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.12 / $3.53	Professional		$1.41	$2.12	$3.53