Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $6.26 / $6.26	Facility		$6.26	$6.26	$6.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $6.26 / $8.22	Professional		$4.71	$6.26	$8.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $10.79 / $17.80	Facility		$10.79	$10.79	$17.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.79 / $12.30	Professional		$10.02	$10.79	$12.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $23.09 / $23.09	Facility		$10.79	$23.09	$23.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $44.79	Facility		$28.84	$33.70	$44.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $15.47 / $20.43	Professional		$5.51	$15.47	$20.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $8.89 / $16.21	Facility		$6.06	$8.89	$16.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $6.18 / $10.79	Professional		$6.18	$6.18	$10.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $8.89 / $24.28	Facility		$6.06	$8.89	$24.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.10 / $15.54	Professional		$5.01	$6.10	$15.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $65.00 / $85.00	Professional		$4.92	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $8.89 / $16.21	Facility		$6.06	$8.89	$16.21
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $6.18 / $10.79	Professional		$6.18	$6.18	$10.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $16.19 / $27.00	Professional		$10.79	$16.19	$27.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $21.90 / $80.00	Facility		$21.08	$21.90	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $47.43 / $57.96	Professional		$5.51	$47.43	$57.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Professional		$10.79	$10.79	$10.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Professional		$10.79	$10.79	$10.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $5.38 / $9.99	Professional		$4.53	$5.38	$9.99