Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $12.99 / $12.99	Facility		$12.99	$12.99	$12.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $12.99 / $18.02	Professional		$10.79	$12.99	$18.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $24.60 / $40.70	Facility		$22.36	$24.60	$40.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.79 / $27.50	Professional		$20.12	$20.79	$27.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.09 / $47.85 / $47.85	Facility		$16.09	$47.85	$47.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $57.67 / $89.57	Facility		$13.44	$57.67	$89.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $31.43 / $42.33	Professional		$11.42	$31.43	$42.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $18.73 / $25.71	Facility		$6.13	$18.73	$25.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $22.36 / $26.83	Professional		$10.98	$22.36	$26.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $23.38 / $101.60	Facility		$10.90	$23.38	$101.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $11.29 / $25.95	Professional		$9.35	$11.29	$25.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $55.00 / $85.00	Professional		$7.82	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $19.48 / $25.71	Facility		$6.13	$19.48	$25.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $22.36 / $26.83	Professional		$10.98	$22.36	$26.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $34.42 / $57.21	Professional		$22.36	$34.42	$57.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $43.68 / $101.60	Facility		$13.44	$43.68	$101.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $13.44 / $110.70	Professional		$11.42	$13.44	$110.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $22.36 / $22.36	Professional		$22.36	$22.36	$22.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $22.36 / $22.36	Professional		$22.36	$22.36	$22.36
United Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $8.77 / $14.24	Facility		$7.53	$8.77	$14.24
United Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $11.16 / $21.39	Professional		$7.91	$11.16	$21.39