Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $7.08 / $8.32	Facility		$3.70	$7.08	$8.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.70 / $8.52	Professional		$3.59	$3.70	$8.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $6.64 / $8.01	Facility		$4.49	$6.64	$8.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $4.55	Professional		$3.59	$3.59	$4.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.92 / $4.92 / $5.74	Facility		$4.92	$4.92	$5.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $8.76 / $12.52	Facility		$3.59	$8.76	$12.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $5.40 / $6.14	Professional		$3.60	$5.40	$6.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $3.63 / $7.85	Facility		$2.65	$3.63	$7.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $7.18 / $7.18	Professional		$5.45	$7.18	$7.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $3.63 / $7.85	Facility		$2.65	$3.63	$7.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $7.18	Professional		$3.63	$3.63	$7.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $65.00 / $85.00	Professional		$3.55	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $3.63 / $7.85	Facility		$2.65	$3.63	$7.85
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $7.18 / $7.18	Professional		$5.45	$7.18	$7.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $4.30 / $11.00	Professional		$3.59	$4.30	$11.00
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 $3.59 / $3.59 / $3.59	Professional		$3.59	$3.59	$3.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $5.04 / $5.04	Professional		$3.75	$5.04	$5.04
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $8.31	Facility		$3.55	$3.55	$8.31
United Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $4.67	Professional		$3.59	$3.59	$4.67