Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $3.89 / $9.99	Facility		$3.50	$3.89	$9.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.50 / $5.16	Professional		$2.63	$3.50	$5.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $6.02 / $9.93	Facility		$6.02	$6.02	$9.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $6.02 / $6.86	Professional		$5.60	$6.02	$6.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $12.88 / $12.88	Facility		$6.02	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.95 / $25.19	Facility		$16.22	$18.95	$25.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $8.91 / $11.40	Professional		$3.07	$8.91	$11.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $4.90 / $6.02	Facility		$3.38	$4.90	$6.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $6.02	Professional		$3.44	$3.44	$6.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $4.96 / $6.30	Facility		$3.41	$4.96	$6.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $3.40 / $7.63	Professional		$2.80	$3.40	$7.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $65.00 / $85.00	Professional		$2.81	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $4.96 / $6.02	Facility		$3.38	$4.96	$6.02
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $6.02	Professional		$3.44	$3.44	$6.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $9.02 / $15.00	Professional		$6.02	$9.02	$15.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $12.22 / $80.00	Facility		$11.76	$12.22	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $26.46 / $29.98	Professional		$3.07	$26.46	$29.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.02 / $6.02	Professional		$6.02	$6.02	$6.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.02 / $6.02	Professional		$6.02	$6.02	$6.02
United Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $3.00 / $5.58	Professional		$2.13	$3.00	$5.58