Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $5.94 / $11.04	Facility		$5.94	$5.94	$11.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.65 / $5.94	Professional		$4.05	$4.65	$5.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $12.87 / $13.61	Facility		$10.64	$12.87	$13.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.44 / $20.49	Professional		$2.44	$2.44	$20.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $13.44 / $13.97	Facility		$3.41	$13.44	$13.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $15.80 / $24.23	Facility		$13.52	$15.80	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $6.56 / $15.15	Professional		$2.62	$6.56	$15.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $5.28 / $6.34	Facility		$4.65	$5.28	$6.34
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $5.28 / $75.00	Facility		$4.05	$5.28	$75.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $4.95 / $13.71	Professional		$2.97	$4.95	$13.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $9.85 / $65.00	Professional		$2.48	$9.85	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $5.28 / $6.34	Facility		$4.65	$5.28	$6.34
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $11.83 / $16.50	Professional		$5.61	$11.83	$16.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $9.90 / $75.00	Facility		$9.90	$9.90	$75.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $2.62	Professional		$2.60	$2.60	$2.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $10.54	Professional		$5.18	$5.18	$10.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $27.03 / $27.03	Professional		$17.04	$27.03	$27.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $4.15 / $13.57	Professional		$2.87	$4.15	$13.57