Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $7.82 / $9.21	Facility		$4.13	$7.82	$9.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.13 / $8.25	Professional		$4.01	$4.13	$8.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $7.44 / $8.96	Facility		$5.03	$7.44	$8.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $5.09	Professional		$4.01	$4.01	$5.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $6.43	Facility		$5.50	$5.50	$6.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $9.19 / $13.16	Facility		$4.09	$9.19	$13.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $5.71 / $6.49	Professional		$4.05	$5.71	$6.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $8.56	Facility		$4.01	$4.01	$8.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $8.03 / $8.03	Professional		$6.02	$8.03	$8.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $8.56	Facility		$4.01	$4.01	$8.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $8.03	Professional		$4.01	$4.01	$8.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $65.00 / $85.00	Professional		$3.87	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $8.56	Facility		$4.01	$4.01	$8.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $8.03 / $8.03	Professional		$6.02	$8.03	$8.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.16 / $13.20	Professional		$4.01	$5.16	$13.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $5.64	Professional		$5.64	$5.64	$5.64
United Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Facility		$4.01	$4.01	$4.01
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $5.73	Professional		$4.01	$4.01	$5.73