Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $9.17 / $9.17	Facility		$9.17	$9.17	$9.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $10.01 / $12.73	Professional		$9.17	$10.01	$12.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $17.38 / $28.76	Facility		$15.80	$17.38	$28.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $14.69 / $19.43	Professional		$13.94	$14.69	$19.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $33.81 / $33.81	Facility		$11.37	$33.81	$33.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $42.35 / $65.78	Facility		$9.49	$42.35	$65.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $23.34 / $29.90	Professional		$8.07	$23.34	$29.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.32 / $13.22 / $18.17	Facility		$4.32	$13.22	$18.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $15.78 / $18.96	Professional		$9.02	$15.78	$18.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.69 / $16.51 / $80.00	Facility		$7.69	$16.51	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $7.88 / $17.21	Professional		$6.30	$7.88	$17.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.32 / $13.76 / $18.17	Facility		$4.32	$13.76	$18.17
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $15.78 / $18.96	Professional		$9.02	$15.78	$18.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $24.33 / $40.15	Professional		$15.80	$24.33	$40.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $30.86 / $80.00	Facility		$9.49	$30.86	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $9.49 / $78.58	Professional		$8.07	$9.49	$78.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $15.80 / $15.80	Professional		$15.80	$15.80	$15.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $15.80 / $15.80	Professional		$15.80	$15.80	$15.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $7.88 / $13.55	Professional		$5.26	$7.88	$13.55