Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $16.55 / $22.06	Facility		$11.03	$16.55	$22.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $11.03 / $15.14	Professional		$11.02	$11.03	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $23.71 / $24.60	Facility		$20.41	$23.71	$24.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $17.09	Professional		$9.93	$9.93	$17.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $23.05	Facility		$17.64	$17.64	$23.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $26.54 / $37.93	Facility		$10.91	$26.54	$37.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $24.30 / $27.61	Professional		$11.14	$24.30	$27.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $10.93 / $22.14	Facility		$5.90	$10.93	$22.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $22.06 / $22.06	Professional		$22.06	$22.06	$22.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $10.93 / $22.14	Facility		$5.90	$10.93	$22.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $11.83 / $22.06	Professional		$9.86	$11.83	$22.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $26.67 / $85.00	Professional		$10.93	$26.67	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $10.93 / $22.14	Facility		$5.90	$10.93	$22.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $22.06 / $22.06	Professional		$22.06	$22.06	$22.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $25.93 / $37.40	Professional		$11.03	$25.93	$37.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $10.91 / $10.91	Professional		$10.91	$10.91	$10.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $15.49 / $15.49	Professional		$10.88	$15.49	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $10.93 / $10.93	Facility		$10.93	$10.93	$10.93
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $11.14 / $16.17	Professional		$9.86	$11.14	$16.17