Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $6.49 / $7.65	Facility		$3.43	$6.49	$7.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.45 / $7.47	Professional		$3.35	$3.45	$7.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $6.18 / $7.45	Facility		$4.19	$6.18	$7.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $4.25	Professional		$3.35	$3.35	$4.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $4.58 / $5.36	Facility		$4.58	$4.58	$5.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $7.77 / $11.11	Facility		$3.35	$7.77	$11.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $4.84 / $5.51	Professional		$3.35	$4.84	$5.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $3.33 / $7.14	Facility		$3.33	$3.33	$7.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.70 / $6.70	Professional		$5.00	$6.70	$6.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $3.33 / $7.14	Facility		$3.33	$3.33	$7.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $6.70	Professional		$3.33	$3.33	$6.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $65.00 / $85.00	Professional		$3.26	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $3.33 / $7.14	Facility		$3.33	$3.33	$7.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.70 / $6.70	Professional		$5.00	$6.70	$6.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $4.30 / $11.00	Professional		$3.35	$4.30	$11.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $3.35 / $95.00	Facility		$3.35	$3.35	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.70 / $4.70	Professional		$4.13	$4.70	$4.70
United Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.26 / $7.63	Facility		$3.26	$3.26	$7.63
United Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $4.36	Professional		$3.35	$3.35	$4.36