Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.43 / $5.43 / $5.43	Facility		$5.43	$5.43	$5.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.43 / $9.74	Professional		$5.13	$5.43	$9.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $11.85 / $19.60	Facility		$10.77	$11.85	$19.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $10.02 / $13.24	Professional		$9.31	$10.02	$13.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $23.05 / $23.05	Facility		$7.75	$23.05	$23.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $24.05 / $44.79	Facility		$5.99	$24.05	$44.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $17.94 / $20.39	Professional		$4.37	$17.94	$20.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $8.15 / $12.39	Facility		$3.09	$8.15	$12.39
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $10.44 / $12.92	Professional		$6.16	$10.44	$12.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $10.77 / $80.00	Facility		$5.34	$10.77	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.64 / $11.73	Professional		$4.69	$5.64	$11.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $55.00 / $85.00	Professional		$14.52	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $8.15 / $12.39	Facility		$3.09	$8.15	$12.39
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $10.44 / $12.92	Professional		$6.16	$10.44	$12.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $16.55 / $29.11	Professional		$10.77	$16.55	$29.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $21.04 / $80.00	Facility		$5.99	$21.04	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.99 / $75.15	Professional		$4.37	$5.99	$75.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $10.77 / $10.77	Professional		$10.77	$10.77	$10.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $10.77 / $10.77	Professional		$10.77	$10.77	$10.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $5.37 / $9.55	Professional		$3.99	$5.37	$9.55