Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $2.62 / $2.62	Facility		$2.62	$2.62	$2.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.62 / $2.80	Professional		$2.54	$2.62	$2.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.81	Professional		$2.54	$2.54	$3.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $4.05 / $4.05	Facility		$3.47	$4.05	$4.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $6.22 / $8.81	Facility		$3.40	$6.22	$8.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.23 / $4.53	Professional		$2.54	$3.23	$4.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.62 / $4.01	Facility		$2.54	$2.62	$4.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.56 / $2.63 / $4.73	Facility		$2.56	$2.63	$4.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $7.93	Professional		$2.56	$2.56	$7.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $58.40 / $85.00	Professional		$6.22	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.62 / $4.01	Facility		$2.54	$2.62	$4.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.96 / $6.34	Professional		$2.54	$2.96	$6.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $85.00 / $100.00	Facility		$65.00	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.60 / $11.23	Professional		$2.54	$3.60	$11.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Professional		$3.57	$3.57	$3.57
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.30	Professional		$2.54	$2.54	$3.30