Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $7.76 / $46.75	Facility		$5.34	$7.76	$46.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $6.06 / $8.96	Professional		$3.06	$6.06	$8.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $10.44 / $17.23	Facility		$10.44	$10.44	$17.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $10.44 / $11.90	Professional		$9.71	$10.44	$11.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $22.34 / $22.34	Facility		$10.44	$22.34	$22.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $32.64 / $43.39	Facility		$27.93	$32.64	$43.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $15.00 / $19.76	Professional		$5.33	$15.00	$19.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $8.48 / $10.44	Facility		$5.86	$8.48	$10.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $10.44	Professional		$5.98	$5.98	$10.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.92 / $8.60 / $10.96	Facility		$5.92	$8.60	$10.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.90 / $13.23	Professional		$4.84	$5.90	$13.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $65.00 / $85.00	Professional		$5.38	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $8.60 / $10.44	Facility		$5.86	$8.60	$10.44
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $10.44	Professional		$5.98	$5.98	$10.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $15.66 / $26.00	Professional		$10.44	$15.66	$26.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $21.19 / $80.00	Facility		$20.39	$21.19	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $45.90 / $51.99	Professional		$5.33	$45.90	$51.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $10.44 / $10.44	Professional		$10.44	$10.44	$10.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $10.44 / $10.44	Professional		$10.44	$10.44	$10.44
United Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $5.21 / $8.68	Professional		$4.38	$5.21	$8.68