Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $5.98 / $5.98	Facility		$5.98	$5.98	$5.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $6.17 / $8.61	Professional		$5.78	$6.17	$8.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $10.29 / $16.98	Facility		$10.29	$10.29	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $10.29 / $11.73	Professional		$9.57	$10.29	$11.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $22.02 / $22.02	Facility		$10.29	$22.02	$22.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $32.64 / $43.39	Facility		$27.93	$32.64	$43.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $15.00 / $19.48	Professional		$4.20	$15.00	$19.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $8.48 / $10.80	Facility		$5.91	$8.48	$10.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.29 / $14.16	Professional		$10.29	$10.29	$14.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $8.48 / $16.96	Facility		$5.98	$8.48	$16.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $5.82 / $48.35	Professional		$4.75	$5.82	$48.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $58.40 / $85.00	Professional		$5.97	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $8.48 / $10.80	Facility		$5.91	$8.48	$10.80
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.29 / $14.16	Professional		$10.29	$10.29	$14.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $15.44 / $27.00	Professional		$10.29	$15.44	$27.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $20.89 / $90.00	Facility		$20.10	$20.89	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $45.23 / $173.14	Professional		$4.20	$45.23	$173.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.29 / $10.29	Professional		$10.29	$10.29	$10.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.29 / $10.29	Professional		$10.29	$10.29	$10.29
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.14 / $9.84	Professional		$4.37	$5.14	$9.84