Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $5.72 / $5.72	Facility		$5.72	$5.72	$5.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $5.72 / $8.25	Professional		$4.54	$5.72	$8.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $9.85 / $16.25	Facility		$9.85	$9.85	$16.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.85 / $11.22	Professional		$9.16	$9.85	$11.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $21.08 / $21.08	Facility		$9.85	$21.08	$21.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $30.54 / $40.59	Facility		$26.13	$30.54	$40.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $14.06 / $18.64	Professional		$4.01	$14.06	$18.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.65 / $8.01 / $9.85	Facility		$5.65	$8.01	$9.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.68 / $9.85	Professional		$6.68	$6.68	$9.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.65 / $8.11 / $10.34	Facility		$5.65	$8.11	$10.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $5.57 / $22.16	Professional		$4.54	$5.57	$22.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $58.40 / $85.00	Professional		$5.71	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.65 / $8.11 / $9.85	Facility		$5.65	$8.11	$9.85
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.68 / $9.85	Professional		$6.68	$6.68	$9.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $14.78 / $25.00	Professional		$9.85	$14.78	$25.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $20.00 / $90.00	Facility		$19.23	$20.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $43.29 / $79.51	Professional		$4.01	$43.29	$79.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.91 / $8.19	Professional		$4.13	$4.91	$8.19