Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.25 / $10.25 / $10.25	Facility		$10.25	$10.25	$10.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $11.04 / $14.46	Professional		$10.25	$11.04	$14.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $19.43 / $32.14	Facility		$17.66	$19.43	$32.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $16.42 / $21.72	Professional		$15.89	$16.42	$21.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.70 / $37.79 / $37.79	Facility		$12.70	$37.79	$37.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $46.86 / $72.78	Facility		$10.78	$46.86	$72.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $25.72 / $33.43	Professional		$9.16	$25.72	$33.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $15.03 / $20.30	Facility		$4.91	$15.03	$20.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $17.66 / $21.19	Professional		$10.28	$17.66	$21.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $18.45 / $80.17	Facility		$8.74	$18.45	$80.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $8.94 / $19.23	Professional		$7.04	$8.94	$19.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $55.00 / $85.00	Professional		$9.17	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $15.38 / $20.30	Facility		$4.91	$15.38	$20.30
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $17.66 / $21.19	Professional		$10.28	$17.66	$21.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $27.16 / $45.17	Professional		$17.66	$27.16	$45.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $34.50 / $80.17	Facility		$10.78	$34.50	$80.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $10.78 / $89.34	Professional		$9.16	$10.78	$89.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $17.66	Professional		$17.66	$17.66	$17.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $17.66	Professional		$17.66	$17.66	$17.66
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $8.81 / $15.14	Professional		$5.96	$8.81	$15.14