Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $9.66 / $9.66	Facility		$9.66	$9.66	$9.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $10.06 / $13.39	Professional		$9.66	$10.06	$13.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $18.29 / $30.27	Facility		$16.63	$18.29	$30.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $15.47 / $20.45	Professional		$14.96	$15.47	$20.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $35.59 / $35.59	Facility		$11.96	$35.59	$35.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $42.35 / $65.78	Facility		$9.99	$42.35	$65.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $23.34 / $31.48	Professional		$8.49	$23.34	$31.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $13.70 / $19.12	Facility		$4.55	$13.70	$19.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $14.14 / $19.96	Professional		$9.51	$14.14	$19.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $16.63 / $80.00	Facility		$8.09	$16.63	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $8.28 / $18.11	Professional		$6.51	$8.28	$18.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $55.00 / $85.00	Professional		$8.77	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $14.49 / $19.12	Facility		$4.55	$14.49	$19.12
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $14.14 / $19.96	Professional		$9.51	$14.14	$19.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $25.56 / $42.16	Professional		$16.63	$25.56	$42.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $32.47 / $80.00	Facility		$9.99	$32.47	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $9.99 / $82.82	Professional		$8.49	$9.99	$82.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $16.63 / $16.63	Professional		$16.63	$16.63	$16.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $16.63 / $16.63	Professional		$16.63	$16.63	$16.63
United Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $8.28 / $15.78	Professional		$5.53	$8.28	$15.78