Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $12.14	Professional		$7.59	$9.55	$12.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $14.39 / $23.81	Facility		$13.08	$14.39	$23.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $12.16 / $16.07	Professional		$11.77	$12.16	$16.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.40 / $27.99 / $27.99	Facility		$9.40	$27.99	$27.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $40.54 / $62.98	Facility		$9.05	$40.54	$62.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $21.78 / $24.75	Professional		$7.69	$21.78	$24.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $11.39 / $15.07	Facility		$4.13	$11.39	$15.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $13.05 / $15.70	Professional		$8.30	$13.05	$15.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.34 / $14.61 / $80.00	Facility		$7.34	$14.61	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $7.61 / $15.70	Professional		$6.01	$7.61	$15.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $55.00 / $85.00	Professional		$7.74	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $11.39 / $15.70	Facility		$4.13	$11.39	$15.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $13.05 / $15.70	Professional		$8.30	$13.05	$15.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $22.61 / $38.14	Professional		$13.08	$22.61	$38.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $25.54 / $80.00	Facility		$9.05	$25.54	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $9.05 / $74.59	Professional		$7.69	$9.05	$74.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $13.08 / $13.08	Professional		$13.08	$13.08	$13.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $13.08 / $13.08	Professional		$13.08	$13.08	$13.08
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.94 / $12.75	Professional		$5.00	$6.94	$12.75