Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.23 / $7.23 / $7.23	Facility		$7.23	$7.23	$7.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.23 / $10.03	Professional		$7.00	$7.23	$10.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $13.71 / $22.68	Facility		$12.46	$13.71	$22.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $15.32	Professional		$11.59	$11.59	$15.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $26.66 / $26.66	Facility		$8.96	$26.66	$26.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $33.34 / $51.78	Facility		$5.85	$33.34	$51.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $18.28 / $23.59	Professional		$4.97	$18.28	$23.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $10.32 / $14.33	Facility		$3.41	$10.32	$14.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $12.46 / $14.95	Professional		$7.13	$12.46	$14.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $13.01 / $80.00	Facility		$6.06	$13.01	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $6.37 / $14.43	Professional		$5.28	$6.37	$14.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $55.00 / $85.00	Professional		$7.53	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $10.85 / $14.33	Facility		$3.41	$10.85	$14.33
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $12.46 / $14.95	Professional		$7.13	$12.46	$14.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $19.18 / $32.11	Professional		$12.46	$19.18	$32.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $24.34 / $80.00	Facility		$5.85	$24.34	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $5.85 / $54.77	Professional		$4.97	$5.85	$54.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $12.46	Professional		$12.46	$12.46	$12.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $12.46	Professional		$12.46	$12.46	$12.46
United Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $6.22 / $11.61	Professional		$4.41	$6.22	$11.61