Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Facility		$3.31	$3.31	$3.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.35 / $11.20	Professional		$3.20	$3.35	$11.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.69 / $5.69 / $9.39	Facility		$5.69	$5.69	$9.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.69 / $6.48	Professional		$5.29	$5.69	$6.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.69 / $12.18 / $12.18	Facility		$5.69	$12.18	$12.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $17.89 / $23.79	Facility		$15.32	$17.89	$23.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $8.44 / $10.78	Professional		$2.31	$8.44	$10.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.27 / $4.70 / $5.96	Facility		$3.27	$4.70	$5.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $5.61 / $5.69	Professional		$5.61	$5.61	$5.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.70 / $6.73	Facility		$3.31	$4.70	$6.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.22 / $19.14	Professional		$2.63	$3.22	$19.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $65.00 / $85.00	Professional		$3.31	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.27 / $4.70 / $5.96	Facility		$3.27	$4.70	$5.96
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $5.61 / $5.69	Professional		$5.61	$5.61	$5.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $8.53 / $15.00	Professional		$5.69	$8.53	$15.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $11.55 / $90.00	Facility		$11.12	$11.55	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $25.02 / $68.90	Professional		$2.31	$25.02	$68.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $5.69 / $5.69	Professional		$5.69	$5.69	$5.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $5.69 / $9.61	Professional		$5.69	$5.69	$9.61
United Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.84 / $5.45	Professional		$2.42	$2.84	$5.45