Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $6.32 / $6.32	Facility		$6.32	$6.32	$6.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $6.73 / $10.08	Professional		$6.32	$6.73	$10.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $11.98 / $19.82	Facility		$10.89	$11.98	$19.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.13 / $13.39	Professional		$10.13	$10.13	$13.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $23.30 / $23.30	Facility		$7.83	$23.30	$23.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $33.34 / $51.78	Facility		$7.51	$33.34	$51.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $18.10 / $20.60	Professional		$6.38	$18.10	$20.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $8.91 / $12.52	Facility		$3.42	$8.91	$12.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $10.89 / $13.07	Professional		$6.08	$10.89	$13.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $11.69 / $80.00	Facility		$6.08	$11.69	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $6.32 / $13.11	Professional		$4.93	$6.32	$13.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $55.00 / $85.00	Professional		$3.87	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $9.48 / $12.99	Facility		$3.42	$9.48	$12.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $10.89 / $13.07	Professional		$6.08	$10.89	$13.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $18.55 / $32.11	Professional		$10.89	$18.55	$32.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $21.26 / $80.00	Facility		$7.51	$21.26	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $7.51 / $108.14	Professional		$6.38	$7.51	$108.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $10.89 / $10.89	Professional		$10.89	$10.89	$10.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $10.89 / $10.89	Professional		$10.89	$10.89	$10.89
United Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $5.72 / $10.46	Professional		$4.15	$5.72	$10.46