Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $11.21 / $11.21	Facility		$11.21	$11.21	$11.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $11.21 / $15.56	Professional		$10.92	$11.21	$15.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $21.24 / $35.14	Facility		$19.30	$21.24	$35.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $17.96 / $23.75	Professional		$16.70	$17.96	$23.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $41.32 / $41.32	Facility		$13.89	$41.32	$41.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $52.27 / $81.17	Facility		$11.60	$52.27	$81.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $28.58 / $36.54	Professional		$9.86	$28.58	$36.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $16.17 / $22.21	Facility		$5.28	$16.17	$22.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $19.30 / $23.17	Professional		$11.05	$19.30	$23.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.39 / $20.18 / $89.11	Facility		$9.39	$20.18	$89.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $9.64 / $21.03	Professional		$7.70	$9.64	$21.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $55.00 / $85.00	Professional		$10.90	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $16.82 / $22.21	Facility		$5.28	$16.82	$22.21
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $19.30 / $23.17	Professional		$11.05	$19.30	$23.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $29.74 / $49.18	Professional		$19.30	$29.74	$49.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $37.72 / $89.11	Facility		$11.60	$37.72	$89.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $11.60 / $95.58	Professional		$9.86	$11.60	$95.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Professional		$19.30	$19.30	$19.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Professional		$19.30	$19.30	$19.30
United Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $9.64 / $16.34	Professional		$6.42	$9.64	$16.34