Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $10.35 / $12.20	Facility		$5.47	$10.35	$12.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.79 / $15.93	Professional		$5.57	$5.79	$15.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $10.30 / $12.42	Facility		$6.96	$10.30	$12.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.57 / $7.07	Professional		$5.57	$5.57	$7.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.63 / $7.63 / $8.91	Facility		$7.63	$7.63	$8.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $12.96 / $18.52	Facility		$5.57	$12.96	$18.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $8.10 / $9.19	Professional		$5.57	$8.10	$9.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $5.31 / $12.13	Facility		$4.63	$5.31	$12.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.14 / $11.14	Professional		$7.97	$11.14	$11.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $5.31 / $11.44	Facility		$4.63	$5.31	$11.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $5.31 / $11.14	Professional		$5.31	$5.31	$11.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $65.00 / $85.00	Professional		$5.33	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $5.31 / $12.13	Facility		$4.63	$5.31	$12.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.14 / $11.14	Professional		$7.97	$11.14	$11.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $8.18 / $16.00	Professional		$5.57	$8.18	$16.00
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 $5.57 / $5.57 / $5.57	Professional		$5.57	$5.57	$5.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $7.82 / $8.02	Professional		$6.35	$7.82	$8.02
United Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $5.57 / $5.57	Facility		$5.57	$5.57	$5.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.57 / $7.63	Professional		$5.57	$5.57	$7.63