Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $5.69 / $6.69	Facility		$3.00	$5.69	$6.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $3.00 / $7.65	Professional		$2.92	$3.00	$7.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $5.40 / $6.51	Facility		$3.65	$5.40	$6.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $2.92 / $3.70	Professional		$2.92	$2.92	$3.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.67	Facility		$4.00	$4.00	$4.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $7.06 / $10.09	Facility		$2.92	$7.06	$10.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $4.55 / $5.18	Professional		$2.96	$4.55	$5.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.92 / $6.41	Facility		$2.65	$2.92	$6.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $5.84 / $5.84	Professional		$4.38	$5.84	$5.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.92 / $6.41	Facility		$2.65	$2.92	$6.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $2.92 / $5.84	Professional		$2.92	$2.92	$5.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $65.00 / $85.00	Professional		$2.92	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.92 / $6.41	Facility		$2.65	$2.92	$6.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $5.84 / $5.84	Professional		$4.38	$5.84	$5.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $4.51 / $9.00	Professional		$2.92	$4.51	$9.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $2.92 / $100.00	Facility		$2.92	$2.92	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $2.92 / $2.92	Professional		$2.92	$2.92	$2.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $4.09 / $4.62	Professional		$3.65	$4.09	$4.62
United Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $2.92 / $4.00	Professional		$2.92	$2.92	$4.00