Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $8.41 / $8.41	Facility		$8.41	$8.41	$8.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $7.58 / $9.65	Professional		$5.14	$7.58	$9.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $22.75 / $22.75	Facility		$12.50	$22.75	$22.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $11.63 / $16.86	Professional		$11.62	$11.63	$16.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $8.81 / $28.68	Facility		$0.89	$8.81	$28.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $33.34	Facility		$8.00	$8.00	$33.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $14.63 / $18.28	Professional		$8.00	$14.63	$18.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $10.72 / $15.41	Facility		$3.67	$10.72	$15.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $16.07	Professional		$7.68	$7.68	$16.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $15.14 / $80.00	Facility		$3.67	$15.14	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $6.81 / $15.33	Professional		$5.26	$6.81	$15.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.60 / $50.00 / $65.00	Professional		$4.60	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $10.72 / $15.41	Facility		$3.67	$10.72	$15.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $16.07	Professional		$7.68	$7.68	$16.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $3.16 / $4.09	Professional		$1.65	$3.16	$4.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $24.26 / $80.00	Facility		$8.00	$24.26	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $9.44	Professional		$8.00	$8.00	$9.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $13.38 / $13.38	Professional		$13.38	$13.38	$13.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $13.38 / $13.38	Professional		$13.38	$13.38	$13.38
United Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $7.34 / $13.38	Professional		$4.87	$7.34	$13.38