Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Facility		$3.13	$3.13	$3.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $3.23 / $4.63	Professional		$3.03	$3.23	$4.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $5.39 / $8.89	Facility		$5.39	$5.39	$8.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.39 / $6.14	Professional		$5.01	$5.39	$6.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $11.53 / $11.53	Facility		$5.39	$11.53	$11.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $16.85 / $22.39	Facility		$14.42	$16.85	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $7.97 / $10.19	Professional		$2.20	$7.97	$10.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $4.44 / $5.66	Facility		$3.09	$4.44	$5.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $6.94	Professional		$5.39	$5.39	$6.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $4.44 / $8.35	Facility		$3.13	$4.44	$8.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $3.05 / $23.16	Professional		$2.49	$3.05	$23.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $58.40 / $85.00	Professional		$3.13	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $4.44 / $5.66	Facility		$3.09	$4.44	$5.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $6.94	Professional		$5.39	$5.39	$6.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $8.09 / $14.00	Professional		$5.39	$8.09	$14.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $10.94 / $90.00	Facility		$10.52	$10.94	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $23.67 / $83.04	Professional		$2.20	$23.67	$83.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $5.39	Professional		$5.39	$5.39	$5.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $5.39	Professional		$5.39	$5.39	$5.39
United Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.69 / $4.48	Professional		$1.79	$2.69	$4.48