Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.01 / $8.01 / $8.01	Facility		$8.01	$8.01	$8.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $8.73 / $11.11	Professional		$8.01	$8.73	$11.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $15.17 / $25.10	Facility		$13.79	$15.17	$25.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $12.82 / $16.96	Professional		$12.82	$12.82	$16.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.92 / $29.51 / $29.51	Facility		$9.92	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $41.00 / $57.38	Facility		$8.28	$41.00	$57.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $20.48 / $26.10	Professional		$7.05	$20.48	$26.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $11.55 / $15.86	Facility		$3.78	$11.55	$15.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $13.79 / $16.55	Professional		$7.90	$13.79	$16.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $14.42 / $80.00	Facility		$6.71	$14.42	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.88 / $15.02	Professional		$5.50	$6.88	$15.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $55.00 / $85.00	Professional		$6.91	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $12.02 / $15.86	Facility		$3.78	$12.02	$15.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $13.79 / $16.55	Professional		$7.90	$13.79	$16.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $21.23 / $35.13	Professional		$13.79	$21.23	$35.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $26.94 / $80.00	Facility		$8.28	$26.94	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $8.28 / $68.67	Professional		$7.05	$8.28	$68.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $13.79 / $13.79	Professional		$13.79	$13.79	$13.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $13.79 / $13.79	Professional		$13.79	$13.79	$13.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $6.88 / $11.67	Professional		$4.59	$6.88	$11.67