Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $6.36 / $6.36	Facility		$6.36	$6.36	$6.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $6.36 / $24.26	Professional		$6.06	$6.36	$24.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $10.91	Facility		$6.61	$6.61	$10.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $6.15 / $7.40	Professional		$6.15	$6.15	$7.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.95 / $5.95 / $14.15	Facility		$5.95	$5.95	$14.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.06 / $32.31	Facility		$18.02	$21.06	$32.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $9.84 / $12.44	Professional		$2.89	$9.84	$12.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $6.61 / $6.94	Facility		$5.31	$6.61	$6.94
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $6.14	Professional		$6.14	$6.14	$6.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $6.61 / $85.00	Facility		$5.31	$6.61	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $14.33 / $36.72	Professional		$4.30	$14.33	$36.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $65.00 / $90.00	Professional		$7.33	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $6.61 / $6.94	Facility		$5.31	$6.61	$6.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $6.14	Professional		$6.14	$6.14	$6.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $11.13 / $18.07	Professional		$6.61	$11.13	$18.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $16.23 / $85.00	Facility		$13.42	$16.23	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $2.89 / $2.89	Professional		$2.89	$2.89	$2.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $11.13 / $11.13	Professional		$11.13	$11.13	$11.13
Security Health Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Facility		$15.61	$15.61	$15.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $11.13 / $11.13	Professional		$11.13	$11.13	$11.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $11.13 / $36.72	Professional		$2.87	$11.13	$36.72