Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $5.17 / $6.09	Facility		$2.73	$5.17	$6.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.73 / $5.29	Professional		$2.65	$2.73	$5.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.90 / $5.91	Facility		$3.31	$4.90	$5.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $3.36	Professional		$2.65	$2.65	$3.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $4.24	Facility		$3.63	$3.63	$4.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $5.90 / $8.43	Facility		$2.65	$5.90	$8.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.65 / $4.15	Professional		$2.54	$3.65	$4.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.65 / $5.70	Facility		$2.65	$2.65	$5.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.30 / $5.30	Professional		$3.98	$5.30	$5.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.65 / $5.70	Facility		$2.65	$2.65	$5.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $5.30	Professional		$2.65	$2.65	$5.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $65.00 / $85.00	Professional		$2.45	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.65 / $5.70	Facility		$2.65	$2.65	$5.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.30 / $5.30	Professional		$3.98	$5.30	$5.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $3.14 / $8.80	Professional		$2.65	$3.14	$8.80
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 $2.65 / $2.65 / $2.65	Professional		$2.65	$2.65	$2.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $5.73	Facility		$2.45	$2.45	$5.73
United Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $3.63	Professional		$2.65	$2.65	$3.63