Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $3.48 / $3.48	Facility		$3.48	$3.48	$3.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.48 / $13.60	Professional		$3.31	$3.48	$13.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $3.74 / $6.17	Facility		$3.74	$3.74	$6.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $4.11	Professional		$3.48	$3.48	$4.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $3.37 / $8.00	Facility		$3.37	$3.37	$8.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $11.58 / $17.77	Facility		$9.91	$11.58	$17.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $5.63 / $7.05	Professional		$1.61	$5.63	$7.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.74 / $3.93	Facility		$3.00	$3.74	$3.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.21 / $3.21	Professional		$3.21	$3.21	$3.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.74 / $85.00	Facility		$3.00	$3.74	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $7.51 / $19.27	Professional		$2.36	$7.51	$19.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $65.00 / $90.00	Professional		$3.00	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.74 / $3.93	Facility		$3.00	$3.74	$3.93
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.21 / $3.21	Professional		$3.21	$3.21	$3.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $6.60 / $11.04	Professional		$3.74	$6.60	$11.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $9.01 / $85.00	Facility		$7.59	$9.01	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $1.61	Professional		$1.61	$1.61	$1.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
Security Health Facility/Professional Facility Modifier Low / Median / High Price $7.97 / $7.97 / $7.97	Facility		$7.97	$7.97	$7.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $6.70 / $18.35	Professional		$1.57	$6.70	$18.35