Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $13.18 / $37.68	Facility		$2.12	$13.18	$37.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $13.18 / $22.69	Professional		$9.92	$13.18	$22.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $22.70 / $37.46	Facility		$22.70	$22.70	$37.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $22.70 / $25.87	Professional		$21.11	$22.70	$25.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $48.58 / $48.58	Facility		$22.70	$48.58	$48.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $71.61 / $95.17	Facility		$61.28	$71.61	$95.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $32.81 / $42.96	Professional		$11.59	$32.81	$42.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $18.45 / $22.70	Facility		$12.75	$18.45	$22.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $22.70	Professional		$12.99	$12.99	$22.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $18.71 / $23.72	Facility		$12.87	$18.71	$23.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $12.84 / $28.77	Professional		$10.55	$12.84	$28.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $65.00 / $85.00	Professional		$12.85	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $18.71 / $22.70	Facility		$12.75	$18.71	$22.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $22.70	Professional		$12.99	$12.99	$22.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $34.04 / $44.74	Professional		$22.70	$34.04	$44.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.34 / $46.08 / $106.80	Facility		$44.34	$46.08	$106.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $99.77 / $113.05	Professional		$11.59	$99.77	$113.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $11.33 / $21.03	Professional		$9.63	$11.33	$21.03