Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $14.43	Facility		$7.76	$7.76	$14.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $6.08 / $7.76	Professional		$5.31	$6.08	$7.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $16.82 / $17.79	Facility		$13.91	$16.82	$17.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.19 / $26.77	Professional		$3.19	$3.19	$26.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.73 / $17.55 / $18.23	Facility		$4.73	$17.55	$18.23
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 $3.43 / $8.44 / $19.80	Professional		$3.43	$8.44	$19.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $6.67 / $8.27	Facility		$6.08	$6.67	$8.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $7.23	Professional		$7.23	$7.23	$7.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $6.67 / $80.00	Facility		$5.31	$6.67	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $6.47 / $17.92	Professional		$3.88	$6.47	$17.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $12.69 / $85.00	Professional		$3.24	$12.69	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $6.67 / $8.27	Facility		$6.08	$6.67	$8.27
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $7.23	Professional		$7.23	$7.23	$7.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $15.78 / $22.00	Professional		$7.60	$15.78	$22.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $12.94 / $80.00	Facility		$12.94	$12.94	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.40 / $3.43	Professional		$3.40	$3.40	$3.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $6.65 / $13.78	Professional		$6.65	$6.65	$13.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $25.78 / $35.33	Professional		$6.65	$25.78	$35.33
United Facility/Professional Facility Modifier Low / Median / High Price $5.74 / $5.74 / $15.58	Facility		$5.74	$5.74	$15.58
United Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $5.33 / $18.98	Professional		$3.75	$5.33	$18.98