Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $2.46 / $2.46	Facility		$2.46	$2.46	$2.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $2.54 / $3.22	Professional		$2.38	$2.54	$3.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $6.98	Facility		$4.23	$4.23	$6.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $4.23 / $4.82	Professional		$3.93	$4.23	$4.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $9.05 / $9.05	Facility		$4.23	$9.05	$9.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $13.69 / $18.19	Facility		$11.71	$13.69	$18.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $6.09 / $8.00	Professional		$1.73	$6.09	$8.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.43 / $3.49 / $4.44	Facility		$2.43	$3.49	$4.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $5.61	Professional		$4.23	$4.23	$5.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $3.49 / $6.73	Facility		$2.46	$3.49	$6.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.39 / $19.14	Professional		$1.95	$2.39	$19.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $65.00 / $85.00	Professional		$2.45	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.43 / $3.49 / $4.44	Facility		$2.43	$3.49	$4.44
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $5.61	Professional		$4.23	$4.23	$5.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $6.35 / $11.00	Professional		$4.23	$6.35	$11.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $8.59 / $90.00	Facility		$8.26	$8.59	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $18.59 / $68.90	Professional		$1.73	$18.59	$68.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $4.23	Professional		$4.23	$4.23	$4.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $9.61	Professional		$4.23	$4.23	$9.61
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.11 / $3.95	Professional		$1.41	$2.11	$3.95