Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $5.12 / $9.52	Facility		$5.12	$5.12	$9.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.01 / $5.12	Professional		$3.50	$4.01	$5.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $11.10 / $11.74	Facility		$9.18	$11.10	$11.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.60 / $18.36	Professional		$2.11	$2.60	$18.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $11.61 / $12.07	Facility		$3.20	$11.61	$12.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $13.69 / $21.00	Facility		$11.71	$13.69	$21.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $5.63 / $13.06	Professional		$2.25	$5.63	$13.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $5.55 / $5.55	Facility		$4.01	$5.55	$5.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $5.55 / $85.00	Facility		$3.50	$5.55	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $5.89 / $13.64	Professional		$2.56	$5.89	$13.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $11.79 / $85.00	Professional		$2.14	$11.79	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $5.55 / $5.55	Facility		$4.01	$5.55	$5.55
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $10.25 / $14.30	Professional		$4.87	$10.25	$14.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $8.53 / $85.00	Facility		$8.53	$8.53	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.25	Professional		$2.24	$2.24	$2.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.57 / $9.09	Professional		$5.57	$5.57	$9.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $21.56 / $23.31	Professional		$5.57	$21.56	$23.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.26 / $12.14	Professional		$2.56	$4.26	$12.14