Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $12.18 / $12.18	Facility		$12.18	$12.18	$12.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $13.28 / $16.89	Professional		$12.18	$13.28	$16.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.98 / $23.08 / $38.18	Facility		$20.98	$23.08	$38.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $19.51 / $25.80	Professional		$19.51	$19.51	$25.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $44.90 / $44.90	Facility		$15.10	$44.90	$44.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $56.77 / $88.17	Facility		$13.91	$56.77	$88.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $30.47 / $39.71	Professional		$8.56	$30.47	$39.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $17.57 / $24.13	Facility		$5.75	$17.57	$24.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.98 / $25.18	Professional		$12.02	$20.98	$25.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $21.92 / $98.56	Facility		$10.22	$21.92	$98.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $10.47 / $22.85	Professional		$8.36	$10.47	$22.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $55.00 / $85.00	Professional		$9.81	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $18.27 / $24.13	Facility		$5.75	$18.27	$24.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.98 / $25.18	Professional		$12.02	$20.98	$25.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $32.29 / $53.20	Professional		$20.98	$32.29	$53.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $40.98 / $98.56	Facility		$13.91	$40.98	$98.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $13.91 / $92.21	Professional		$8.56	$13.91	$92.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $20.98 / $20.98	Professional		$20.98	$20.98	$20.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $20.98 / $20.98	Professional		$20.98	$20.98	$20.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $10.47 / $17.75	Professional		$6.98	$10.47	$17.75