Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $7.80 / $14.50	Facility		$7.80	$7.80	$14.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $6.18 / $7.80	Professional		$5.33	$6.18	$7.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $16.89 / $17.88	Facility		$13.98	$16.89	$17.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.21 / $26.89	Professional		$3.21	$3.21	$26.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $18.36 / $19.14	Facility		$4.75	$18.36	$19.14
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 $3.45 / $8.44 / $19.89	Professional		$3.45	$8.44	$19.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $6.20 / $8.32	Facility		$3.45	$6.20	$8.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $7.27 / $7.27	Professional		$7.27	$7.27	$7.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $6.50 / $75.00	Facility		$3.45	$6.50	$75.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $7.80 / $19.09	Professional		$3.90	$7.80	$19.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $12.74 / $85.00	Professional		$3.22	$12.74	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $6.20 / $8.32	Facility		$3.45	$6.20	$8.32
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $7.27 / $7.27	Professional		$7.27	$7.27	$7.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $15.78 / $22.00	Professional		$7.49	$15.78	$22.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $13.00 / $75.00	Facility		$13.00	$13.00	$75.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $3.42 / $3.45	Professional		$3.42	$3.42	$3.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $6.69 / $13.84	Professional		$6.69	$6.69	$13.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $25.92 / $35.49	Professional		$6.69	$25.92	$35.49
United Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $6.50 / $19.09	Professional		$3.90	$6.50	$19.09