Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Facility		$4.68	$4.68	$4.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.68 / $18.22	Professional		$4.46	$4.68	$18.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $5.12 / $8.44	Facility		$5.12	$5.12	$8.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $5.63	Professional		$4.76	$4.76	$5.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $10.96 / $10.96	Facility		$4.61	$10.96	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $15.80 / $24.23	Facility		$13.52	$15.80	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $7.50 / $9.64	Professional		$2.60	$7.50	$9.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $5.12 / $5.38	Facility		$4.11	$5.12	$5.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Professional		$4.26	$4.26	$4.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $5.12 / $85.00	Facility		$4.11	$5.12	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $9.82 / $25.19	Professional		$3.17	$9.82	$25.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $65.00 / $90.00	Professional		$6.22	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $5.12 / $5.38	Facility		$4.11	$5.12	$5.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Professional		$4.26	$4.26	$4.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $9.00 / $15.06	Professional		$5.12	$9.00	$15.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $11.80 / $85.00	Facility		$10.39	$11.80	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $2.60	Professional		$2.60	$2.60	$2.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $8.02	Professional		$8.02	$8.02	$8.02
Security Health Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $9.71 / $9.71	Facility		$9.71	$9.71	$9.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $8.02	Professional		$8.02	$8.02	$8.02
United Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $7.10 / $24.41	Professional		$2.11	$7.10	$24.41