Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $13.10 / $16.68	Professional		$8.52	$13.10	$16.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $22.77 / $37.67	Facility		$20.70	$22.77	$37.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $19.25 / $25.46	Professional		$17.89	$19.25	$25.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $44.30 / $44.30	Facility		$14.89	$44.30	$44.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $55.87 / $86.77	Facility		$12.44	$55.87	$86.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $30.48 / $39.15	Professional		$10.57	$30.48	$39.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.67 / $17.05 / $23.81	Facility		$5.67	$17.05	$23.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $20.70 / $24.84	Professional		$11.87	$20.70	$24.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $20.70 / $92.20	Facility		$10.09	$20.70	$92.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $10.59 / $24.04	Professional		$8.36	$10.59	$24.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $55.00 / $85.00	Professional		$9.41	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.67 / $18.03 / $23.81	Facility		$5.67	$18.03	$23.81
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $20.70 / $24.84	Professional		$11.87	$20.70	$24.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $31.86 / $52.19	Professional		$20.70	$31.86	$52.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $40.42 / $92.20	Facility		$12.44	$40.42	$92.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $12.44 / $113.00	Professional		$10.57	$12.44	$113.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $20.70 / $20.70	Professional		$20.70	$20.70	$20.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $20.70 / $20.70	Professional		$20.70	$20.70	$20.70
United Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $10.33 / $19.29	Professional		$6.88	$10.33	$19.29