Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $8.47 / $8.47	Facility		$8.47	$8.47	$8.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $8.47 / $11.07	Professional		$5.42	$8.47	$11.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $14.58 / $24.06	Facility		$14.58	$14.58	$24.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $14.58 / $16.62	Professional		$13.56	$14.58	$16.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $31.20 / $31.20	Facility		$14.58	$31.20	$31.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $58.78	Facility		$37.85	$44.23	$58.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $16.67 / $27.60	Professional		$5.70	$16.67	$27.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.98 / $12.02 / $14.58	Facility		$7.98	$12.02	$14.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $14.58	Professional		$8.36	$8.36	$14.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.98 / $12.02 / $14.85	Facility		$7.98	$12.02	$14.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $8.25 / $18.48	Professional		$6.79	$8.25	$18.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $65.00 / $85.00	Professional		$9.07	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $12.02 / $14.58	Facility		$7.80	$12.02	$14.58
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $14.58	Professional		$8.36	$8.36	$14.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $21.87 / $37.00	Professional		$14.58	$21.87	$37.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.48 / $29.60 / $80.00	Facility		$28.48	$29.60	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.95 / $72.61	Professional		$5.70	$5.95	$72.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $14.58 / $14.58	Professional		$14.58	$14.58	$14.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $14.58 / $14.58	Professional		$14.58	$14.58	$14.58
United Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $7.28 / $12.13	Professional		$5.16	$7.28	$12.13