Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $9.96 / $9.96	Facility		$9.96	$9.96	$9.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $9.96 / $13.80	Professional		$9.42	$9.96	$13.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $18.85 / $31.19	Facility		$17.14	$18.85	$31.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $15.94 / $21.08	Professional		$14.82	$15.94	$21.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $36.68 / $36.68	Facility		$12.33	$36.68	$36.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $45.96 / $71.38	Facility		$10.29	$45.96	$71.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $25.24 / $32.44	Professional		$8.75	$25.24	$32.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $14.12 / $19.71	Facility		$4.69	$14.12	$19.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $14.57 / $20.57	Professional		$9.81	$14.57	$20.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $17.14 / $80.00	Facility		$8.34	$17.14	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $8.55 / $18.67	Professional		$6.71	$8.55	$18.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $55.00 / $85.00	Professional		$9.69	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $14.94 / $19.71	Facility		$4.69	$14.94	$19.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $14.57 / $20.57	Professional		$9.81	$14.57	$20.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $26.36 / $43.16	Professional		$17.14	$26.36	$43.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $33.47 / $80.00	Facility		$10.29	$33.47	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $10.29 / $85.36	Professional		$8.75	$10.29	$85.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $17.14 / $17.14	Professional		$17.14	$17.14	$17.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $17.14 / $17.14	Professional		$17.14	$17.14	$17.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $8.55 / $14.49	Professional		$5.70	$8.55	$14.49