Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Facility		$2.75	$2.75	$2.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $3.00 / $3.81	Professional		$2.06	$3.00	$3.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $5.21 / $8.63	Facility		$4.74	$5.21	$8.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.41 / $5.83	Professional		$4.41	$4.41	$5.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $10.14 / $10.14	Facility		$3.41	$10.14	$10.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $14.00 / $19.59	Facility		$2.85	$14.00	$19.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $7.90 / $8.98	Professional		$2.42	$7.90	$8.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $3.97 / $5.45	Facility		$1.29	$3.97	$5.45
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $4.74 / $5.69	Professional		$2.70	$4.74	$5.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $4.95 / $80.00	Facility		$2.29	$4.95	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.52 / $5.46	Professional		$2.00	$2.52	$5.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.53 / $55.00 / $85.00	Professional		$2.53	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $4.13 / $5.45	Facility		$1.29	$4.13	$5.45
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $4.74 / $5.69	Professional		$2.70	$4.74	$5.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $7.28 / $12.04	Professional		$4.74	$7.28	$12.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $9.26 / $80.00	Facility		$2.85	$9.26	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $3.35 / $23.61	Professional		$2.42	$3.35	$23.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $4.74 / $4.74	Professional		$4.74	$4.74	$4.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $4.74 / $4.74	Professional		$4.74	$4.74	$4.74
United Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $2.36 / $4.53	Professional		$1.68	$2.36	$4.53