Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $6.69 / $6.69	Facility		$6.69	$6.69	$6.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $7.30 / $9.27	Professional		$6.69	$7.30	$9.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $12.68 / $20.98	Facility		$11.53	$12.68	$20.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.72 / $14.18	Professional		$10.54	$10.72	$14.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $24.67 / $24.67	Facility		$8.28	$24.67	$24.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $34.00 / $47.59	Facility		$7.54	$34.00	$47.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $19.21 / $21.83	Professional		$6.41	$19.21	$21.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $9.65 / $13.26	Facility		$3.15	$9.65	$13.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $11.53 / $13.84	Professional		$6.60	$11.53	$13.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $12.04 / $80.00	Facility		$5.61	$12.04	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.75 / $12.55	Professional		$4.59	$5.75	$12.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $55.00 / $85.00	Professional		$5.57	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $10.03 / $13.26	Facility		$3.15	$10.03	$13.26
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $11.53 / $13.84	Professional		$6.60	$11.53	$13.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $17.73 / $29.11	Professional		$11.53	$17.73	$29.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $22.52 / $80.00	Facility		$7.54	$22.52	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $7.54 / $57.42	Professional		$6.41	$7.54	$57.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $11.53	Professional		$11.53	$11.53	$11.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $11.53	Professional		$11.53	$11.53	$11.53
United Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $5.75 / $9.88	Professional		$3.83	$5.75	$9.88