Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $4.70 / $4.70	Facility		$4.70	$4.70	$4.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.84 / $16.54	Professional		$4.54	$4.84	$16.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $8.09 / $13.35	Facility		$8.09	$8.09	$13.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $8.09 / $9.22	Professional		$7.52	$8.09	$9.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $17.30 / $17.30	Facility		$8.09	$17.30	$17.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $25.27 / $33.59	Facility		$21.63	$25.27	$33.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $11.72 / $15.31	Professional		$3.30	$11.72	$15.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $6.67 / $8.46	Facility		$4.63	$6.67	$8.46
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $9.09	Professional		$8.09	$8.09	$9.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $6.67 / $10.77	Facility		$4.70	$6.67	$10.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $4.59 / $30.22	Professional		$3.74	$4.59	$30.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $58.40 / $85.00	Professional		$4.71	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $6.67 / $8.46	Facility		$4.63	$6.67	$8.46
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $9.09	Professional		$8.09	$8.09	$9.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $12.14 / $21.00	Professional		$8.09	$12.14	$21.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $16.42 / $90.00	Facility		$15.80	$16.42	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $35.54 / $107.77	Professional		$3.30	$35.54	$107.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $8.09	Professional		$8.09	$8.09	$8.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $15.14	Professional		$8.09	$8.09	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.04 / $7.54	Professional		$3.40	$4.04	$7.54