Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $3.16	Facility		$3.16	$3.16	$3.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $3.16 / $5.33	Professional		$2.64	$3.16	$5.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.28 / $6.91 / $11.43	Facility		$6.28	$6.91	$11.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $5.84 / $7.72	Professional		$5.65	$5.84	$7.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $13.44 / $13.44	Facility		$4.51	$13.44	$13.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $14.04 / $26.59	Facility		$3.51	$14.04	$26.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $9.05 / $11.88	Professional		$2.98	$9.05	$11.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $4.74 / $7.22	Facility		$1.80	$4.74	$7.22
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $6.12 / $7.54	Professional		$3.59	$6.12	$7.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $6.28 / $80.00	Facility		$3.12	$6.28	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $4.19 / $6.83	Professional		$2.86	$4.19	$6.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $4.74 / $7.22	Facility		$1.80	$4.74	$7.22
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $6.12 / $7.54	Professional		$3.59	$6.12	$7.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $9.61 / $17.05	Professional		$6.28	$9.61	$17.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $12.26 / $80.00	Facility		$3.51	$12.26	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.51 / $31.67	Professional		$2.98	$3.51	$31.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $6.28 / $6.28	Professional		$6.28	$6.28	$6.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $6.28 / $6.28	Professional		$6.28	$6.28	$6.28
United Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $4.17 / $6.28	Professional		$2.50	$4.17	$6.28