Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $7.88 / $7.88	Facility		$7.88	$7.88	$7.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $7.88 / $30.00	Professional		$7.30	$7.88	$30.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $14.93 / $24.70	Facility		$13.57	$14.93	$24.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $12.62 / $16.69	Professional		$11.74	$12.62	$16.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $14.93 / $29.04	Facility		$9.76	$14.93	$29.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $14.25 / $16.14	Professional		$13.57	$14.25	$16.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $36.04 / $55.98	Facility		$8.15	$36.04	$55.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $20.00 / $25.68	Professional		$6.93	$20.00	$25.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $11.18 / $15.61	Facility		$3.71	$11.18	$15.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.57 / $16.28	Professional		$7.76	$13.57	$16.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $14.03 / $80.00	Facility		$6.60	$14.03	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.76 / $15.62	Professional		$5.75	$7.76	$15.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $11.74 / $15.61	Facility		$3.71	$11.74	$15.61
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.57 / $16.28	Professional		$7.76	$13.57	$16.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $20.88 / $34.13	Professional		$13.57	$20.88	$34.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $26.50 / $80.00	Facility		$8.15	$26.50	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $8.15 / $67.58	Professional		$6.93	$8.15	$67.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $13.57 / $13.57	Professional		$13.57	$13.57	$13.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $13.57 / $13.57	Professional		$13.57	$13.57	$13.57
United Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.77 / $12.97	Professional		$4.80	$6.77	$12.97