Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $11.66 / $33.35	Facility		$11.66	$11.66	$33.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $11.66 / $17.21	Professional		$8.77	$11.66	$17.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $20.09 / $33.15	Facility		$20.09	$20.09	$33.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $20.09 / $22.90	Professional		$18.68	$20.09	$22.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $42.99 / $42.99	Facility		$20.09	$42.99	$42.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $63.18 / $83.97	Facility		$54.07	$63.18	$83.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $29.06 / $38.03	Professional		$10.26	$29.06	$38.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $16.05 / $20.09	Facility		$10.93	$16.05	$20.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $11.14 / $20.09	Professional		$11.14	$11.14	$20.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $16.05 / $20.99	Facility		$10.93	$16.05	$20.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $11.14 / $25.45	Professional		$9.34	$11.14	$25.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $16.05 / $20.09	Facility		$10.93	$16.05	$20.09
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $11.14 / $20.09	Professional		$11.14	$11.14	$20.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $30.14 / $51.00	Professional		$20.09	$30.14	$51.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.24 / $40.78 / $93.88	Facility		$39.24	$40.78	$93.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $88.29 / $99.95	Professional		$10.26	$88.29	$99.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $20.09 / $20.09	Professional		$20.09	$20.09	$20.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $20.09 / $20.09	Professional		$20.09	$20.09	$20.09
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $10.02 / $18.61	Professional		$8.52	$10.02	$18.61