Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $10.94 / $12.89	Facility		$4.63	$10.94	$12.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.63 / $30.34	Professional		$4.50	$4.63	$30.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $5.63 / $5.63	Facility		$5.63	$5.63	$5.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $5.71	Professional		$4.50	$4.50	$5.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.16 / $6.16 / $7.20	Facility		$6.16	$6.16	$7.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $22.69 / $32.44	Facility		$4.50	$22.69	$32.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $15.35 / $17.44	Professional		$4.50	$15.35	$17.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $5.61 / $12.25	Facility		$4.50	$5.61	$12.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $9.00 / $9.00	Professional		$3.21	$9.00	$9.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $5.61 / $12.25	Facility		$5.61	$5.61	$12.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $5.61 / $9.00	Professional		$5.61	$5.61	$9.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $65.00 / $85.00	Professional		$6.24	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $5.61 / $12.25	Facility		$4.50	$5.61	$12.25
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $9.00 / $9.00	Professional		$3.21	$9.00	$9.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $7.55 / $23.10	Professional		$4.49	$7.55	$23.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $4.50 / $100.00	Facility		$4.50	$4.50	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $6.32 / $21.29	Professional		$6.32	$6.32	$21.29
United Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $6.75	Professional		$4.50	$4.50	$6.75