Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $7.79 / $7.79	Facility		$7.79	$7.79	$7.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $8.50 / $10.81	Professional		$7.79	$8.50	$10.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $14.75 / $24.41	Facility		$13.41	$14.75	$24.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.47 / $16.48	Professional		$12.06	$12.47	$16.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.65 / $28.70 / $28.70	Facility		$9.65	$28.70	$28.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $36.04 / $55.98	Facility		$8.07	$36.04	$55.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $19.53 / $25.39	Professional		$6.86	$19.53	$25.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.68 / $11.24 / $15.42	Facility		$3.68	$11.24	$15.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $13.41 / $16.09	Professional		$7.69	$13.41	$16.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.54 / $14.02 / $80.00	Facility		$6.54	$14.02	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $6.70 / $14.61	Professional		$5.35	$6.70	$14.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $55.00 / $85.00	Professional		$7.34	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.68 / $11.69 / $15.42	Facility		$3.68	$11.69	$15.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $13.41 / $16.09	Professional		$7.69	$13.41	$16.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $20.65 / $34.13	Professional		$13.41	$20.65	$34.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $26.20 / $80.00	Facility		$8.07	$26.20	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $8.07 / $66.78	Professional		$6.86	$8.07	$66.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $13.41 / $13.41	Professional		$13.41	$13.41	$13.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $13.41 / $13.41	Professional		$13.41	$13.41	$13.41
United Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $6.70 / $13.41	Professional		$4.46	$6.70	$13.41