Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.35 / $10.35 / $10.35	Facility		$10.35	$10.35	$10.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $10.35 / $13.58	Professional		$7.79	$10.35	$13.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $17.82 / $29.42	Facility		$17.82	$17.82	$29.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $17.82 / $20.32	Professional		$16.57	$17.82	$20.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $38.15 / $38.15	Facility		$17.82	$38.15	$38.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $55.81 / $74.18	Facility		$47.76	$55.81	$74.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $25.78 / $33.74	Professional		$7.28	$25.78	$33.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $14.49 / $17.82	Facility		$10.01	$14.49	$17.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $17.82	Professional		$10.19	$10.19	$17.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $14.69 / $18.63	Facility		$10.10	$14.69	$18.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $10.08 / $22.59	Professional		$8.28	$10.08	$22.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $65.00 / $85.00	Professional		$18.96	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $14.69 / $17.82	Facility		$10.01	$14.69	$17.82
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $17.82	Professional		$10.19	$10.19	$17.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $26.75 / $45.00	Professional		$17.82	$26.75	$45.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $36.19 / $83.77	Facility		$34.82	$36.19	$83.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $78.34 / $88.79	Professional		$7.28	$78.34	$88.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $17.82 / $17.82	Professional		$17.82	$17.82	$17.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $17.82 / $17.82	Professional		$17.82	$17.82	$17.82
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $8.89 / $14.82	Professional		$7.22	$8.89	$14.82