Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $3.81 / $3.81	Facility		$3.81	$3.81	$3.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $4.15 / $5.28	Professional		$3.68	$4.15	$5.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $7.21 / $11.92	Facility		$6.55	$7.21	$11.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $6.09 / $8.05	Professional		$5.87	$6.09	$8.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $14.02 / $14.02	Facility		$4.72	$14.02	$14.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $18.02 / $27.99	Facility		$3.94	$18.02	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $9.52 / $12.40	Professional		$3.35	$9.52	$12.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $5.49 / $7.53	Facility		$1.79	$5.49	$7.53
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $6.55 / $7.86	Professional		$3.74	$6.55	$7.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.18 / $6.86 / $80.00	Facility		$3.18	$6.86	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.30 / $7.58	Professional		$2.78	$3.30	$7.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $55.00 / $85.00	Professional		$3.54	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $5.72 / $7.53	Facility		$1.79	$5.72	$7.53
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $6.55 / $7.86	Professional		$3.74	$6.55	$7.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $10.09 / $17.05	Professional		$6.55	$10.09	$17.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $12.80 / $80.00	Facility		$3.94	$12.80	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.94 / $32.61	Professional		$3.35	$3.94	$32.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $6.55 / $6.55	Professional		$6.55	$6.55	$6.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $6.55 / $6.55	Professional		$6.55	$6.55	$6.55
United Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.27 / $6.27	Professional		$2.35	$3.27	$6.27