Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $10.93 / $10.93	Facility		$10.93	$10.93	$10.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.01 / $16.09	Professional		$10.93	$12.01	$16.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $20.71 / $34.27	Facility		$18.82	$20.71	$34.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $17.51 / $23.16	Professional		$17.51	$17.51	$23.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $40.29 / $40.29	Facility		$13.54	$40.29	$40.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $50.46 / $78.38	Facility		$13.30	$50.46	$78.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $27.62 / $35.64	Professional		$11.31	$27.62	$35.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $16.39 / $21.65	Facility		$6.07	$16.39	$21.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $18.82 / $22.60	Professional		$11.59	$18.82	$22.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $19.67 / $102.21	Facility		$10.78	$19.67	$102.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $10.61 / $20.50	Professional		$8.61	$10.61	$20.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.79 / $55.00 / $85.00	Professional		$9.79	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $16.39 / $21.65	Facility		$6.07	$16.39	$21.65
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $18.82 / $22.60	Professional		$11.59	$18.82	$22.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $30.33 / $56.21	Professional		$18.82	$30.33	$56.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $36.78 / $102.21	Facility		$13.30	$36.78	$102.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $13.30 / $110.31	Professional		$11.31	$13.30	$110.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $18.82 / $18.82	Professional		$18.82	$18.82	$18.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $18.82 / $18.82	Professional		$18.82	$18.82	$18.82
United Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $10.08 / $14.10	Facility		$7.45	$10.08	$14.10
United Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $9.39 / $16.14	Professional		$7.36	$9.39	$16.14