Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $13.00 / $43.13	Facility		$7.00	$13.00	$43.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $7.00 / $27.75	Professional		$4.94	$7.00	$27.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $15.16 / $16.03	Facility		$12.53	$15.16	$16.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $3.55 / $23.78	Professional		$2.33	$3.55	$23.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $14.25 / $14.81	Facility		$4.17	$14.25	$14.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.95 / $29.08	Facility		$16.22	$18.95	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $8.44 / $17.84	Professional		$3.06	$8.44	$17.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $5.25 / $7.46	Facility		$4.44	$5.25	$7.46
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $5.83 / $85.00	Facility		$4.44	$5.83	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.83 / $12.52	Professional		$3.50	$5.83	$12.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $8.75 / $85.00	Professional		$2.92	$8.75	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $5.25 / $7.46	Facility		$4.44	$5.25	$7.46
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $14.20 / $19.80	Professional		$6.47	$14.20	$19.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $11.66 / $85.00	Facility		$11.66	$11.66	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $3.06 / $3.06	Professional		$2.89	$3.06	$3.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $12.42	Professional		$4.40	$4.40	$12.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $17.03 / $31.83	Professional		$4.40	$17.03	$31.83
United Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.83 / $12.52	Professional		$3.50	$5.83	$12.52