Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $17.86 / $33.52	Facility		$6.25	$17.86	$33.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $6.46 / $20.90	Professional		$2.14	$6.46	$20.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $10.76 / $17.75	Facility		$10.76	$10.76	$17.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $10.76 / $12.26	Professional		$10.01	$10.76	$12.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $16.14 / $23.03	Facility		$10.76	$16.14	$23.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $12.91 / $24.97	Professional		$11.30	$12.91	$24.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $44.79	Facility		$28.84	$33.70	$44.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $15.47 / $20.36	Professional		$5.08	$15.47	$20.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.04 / $8.86 / $22.75	Facility		$6.04	$8.86	$22.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $10.76	Professional		$3.74	$3.74	$10.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.04 / $8.86 / $45.16	Facility		$6.04	$8.86	$45.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $5.74 / $13.63	Professional		$4.96	$5.74	$13.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.04 / $8.86 / $22.75	Facility		$6.04	$8.86	$22.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $10.76	Professional		$3.74	$3.74	$10.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $16.14 / $28.00	Professional		$10.76	$16.14	$28.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.02 / $21.84 / $90.00	Facility		$21.02	$21.84	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $47.30 / $53.58	Professional		$5.08	$47.30	$53.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $10.76	Professional		$10.76	$10.76	$10.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $12.24	Professional		$10.76	$10.76	$12.24
United Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $5.36 / $8.94	Professional		$4.36	$5.36	$8.94