Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $9.44 / $9.44	Facility		$9.44	$9.44	$9.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $9.44 / $11.99	Professional		$7.21	$9.44	$11.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $16.26 / $26.83	Facility		$16.26	$16.26	$26.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $16.26 / $18.53	Professional		$15.12	$16.26	$18.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $34.79 / $34.79	Facility		$16.26	$34.79	$34.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $68.58	Facility		$44.15	$51.60	$68.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $23.91 / $30.78	Professional		$8.42	$23.91	$30.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.26 / $13.22 / $16.50	Facility		$9.26	$13.22	$16.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $16.26	Professional		$9.44	$9.44	$16.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.26 / $13.22 / $16.98	Facility		$9.26	$13.22	$16.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $8.85 / $29.45	Professional		$7.56	$8.85	$29.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $65.00 / $85.00	Professional		$8.27	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.26 / $13.59 / $16.50	Facility		$9.26	$13.59	$16.50
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $16.26	Professional		$9.44	$9.44	$16.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $24.75 / $42.00	Professional		$16.26	$24.75	$42.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $34.79 / $80.00	Facility		$31.76	$34.79	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $71.45 / $109.94	Professional		$8.42	$71.45	$109.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $16.26 / $16.26	Professional		$16.26	$16.26	$16.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $16.26 / $16.26	Professional		$16.26	$16.26	$16.26
United Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $8.11 / $13.52	Professional		$5.48	$8.11	$13.52