Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.36 / $6.24 / $7.18	Facility		$3.36	$6.24	$7.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.36 / $71.50	Professional		$3.26	$3.36	$71.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $6.03 / $7.27	Facility		$4.08	$6.03	$7.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.26 / $4.40	Professional		$3.26	$3.26	$4.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $4.55 / $5.98	Facility		$3.12	$4.55	$5.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.26 / $7.56	Professional		$3.12	$3.26	$7.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $5.96 / $10.35	Facility		$3.26	$5.96	$10.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.98 / $5.68	Professional		$3.26	$3.98	$5.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $3.26 / $3.67	Facility		$3.12	$3.26	$3.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.52 / $6.52	Professional		$4.68	$6.52	$6.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $3.12 / $3.48	Facility		$3.12	$3.12	$3.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.47 / $13.24	Professional		$3.12	$3.47	$13.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $3.26 / $3.61	Facility		$3.12	$3.26	$3.61
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.52 / $6.52	Professional		$4.68	$6.52	$6.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.87 / $9.90	Professional		$3.26	$3.87	$9.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.60 / $85.00	Facility		$3.26	$3.60	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $5.52 / $13.24	Professional		$3.26	$5.52	$13.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.58 / $4.98	Professional		$4.19	$4.58	$4.98
United Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.36 / $4.12	Professional		$3.26	$3.36	$4.12