Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $4.75 / $4.75	Facility		$4.75	$4.75	$4.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $4.09 / $5.22	Professional		$2.78	$4.09	$5.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $12.74 / $12.74	Facility		$7.00	$12.74	$12.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.51 / $9.38	Professional		$6.46	$6.51	$9.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $4.26 / $14.87	Facility		$0.56	$4.26	$14.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.20 / $17.12	Facility		$4.20	$4.20	$17.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $7.50 / $9.38	Professional		$4.20	$7.50	$9.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $6.29 / $9.03	Facility		$2.50	$6.29	$9.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $9.43	Professional		$5.24	$5.24	$9.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $9.03 / $80.00	Facility		$2.50	$9.03	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $4.36 / $8.01	Professional		$3.14	$4.36	$8.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $50.00 / $65.00	Professional		$2.73	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $6.29 / $9.03	Facility		$2.50	$6.29	$9.03
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $9.43	Professional		$5.24	$5.24	$9.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.58 / $2.04	Professional		$0.92	$1.58	$2.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $13.50 / $80.00	Facility		$5.20	$13.50	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $5.51	Professional		$4.20	$4.20	$5.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $7.42 / $7.42	Professional		$7.42	$7.42	$7.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $7.42 / $7.42	Professional		$7.42	$7.42	$7.42
United Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $4.25 / $7.62	Professional		$2.63	$4.25	$7.62