Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $4.04 / $4.04	Facility		$4.04	$4.04	$4.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $4.04 / $6.73	Professional		$3.34	$4.04	$6.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.01 / $8.81 / $14.58	Facility		$8.01	$8.81	$14.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.45 / $9.85	Professional		$6.92	$7.45	$9.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $17.14 / $17.14	Facility		$5.76	$17.14	$17.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $16.89 / $33.59	Facility		$5.18	$16.89	$33.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $11.72 / $15.15	Professional		$3.78	$11.72	$15.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $6.06 / $9.21	Facility		$2.58	$6.06	$9.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $8.01 / $10.68	Professional		$4.59	$8.01	$10.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $7.99 / $80.00	Facility		$4.04	$7.99	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $5.35 / $9.03	Professional		$3.73	$5.35	$9.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $55.00 / $85.00	Professional		$4.42	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $6.06 / $9.21	Facility		$2.58	$6.06	$9.21
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $8.01 / $10.68	Professional		$4.59	$8.01	$10.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $12.33 / $24.09	Professional		$8.01	$12.33	$24.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $15.64 / $80.00	Facility		$5.18	$15.64	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $5.18 / $53.19	Professional		$3.78	$5.18	$53.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $8.01 / $8.01	Professional		$8.01	$8.01	$8.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $8.01 / $8.01	Professional		$6.40	$8.01	$8.01
United Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $5.33 / $8.01	Professional		$3.33	$5.33	$8.01