Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.35 / $8.35 / $23.89	Facility		$8.35	$8.35	$23.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $8.35 / $12.32	Professional		$6.28	$8.35	$12.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $14.39 / $23.74	Facility		$14.39	$14.39	$23.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $14.39 / $16.39	Professional		$13.38	$14.39	$16.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $30.79 / $30.79	Facility		$14.39	$30.79	$30.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $45.28 / $60.18	Facility		$38.75	$45.28	$60.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $20.63 / $27.23	Professional		$7.34	$20.63	$27.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $11.69 / $14.39	Facility		$8.08	$11.69	$14.39
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $8.23 / $14.39	Professional		$8.23	$8.23	$14.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $11.85 / $15.03	Facility		$8.15	$11.85	$15.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $8.14 / $18.22	Professional		$6.68	$8.14	$18.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $65.00 / $85.00	Professional		$9.92	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $11.85 / $14.39	Facility		$8.08	$11.85	$14.39
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $8.23 / $14.39	Professional		$8.23	$8.23	$14.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $21.59 / $36.00	Professional		$14.39	$21.59	$36.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $29.21 / $80.00	Facility		$28.10	$29.21	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $63.23 / $71.66	Professional		$7.34	$63.23	$71.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $14.39	Professional		$14.39	$14.39	$14.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $14.39	Professional		$14.39	$14.39	$14.39
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $7.18 / $13.31	Professional		$5.09	$7.18	$13.31