Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $8.86 / $25.36	Facility		$8.86	$8.86	$25.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $8.86 / $13.09	Professional		$6.68	$8.86	$13.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $15.28 / $25.21	Facility		$15.28	$15.28	$25.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $15.28 / $17.41	Professional		$14.21	$15.28	$17.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $32.70 / $32.70	Facility		$15.28	$32.70	$32.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $48.44 / $64.38	Facility		$41.45	$48.44	$64.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $22.03 / $28.91	Professional		$7.80	$22.03	$28.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.58 / $12.42 / $15.28	Facility		$8.58	$12.42	$15.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $15.28	Professional		$8.75	$8.75	$15.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $12.59 / $15.97	Facility		$8.66	$12.59	$15.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $8.64 / $19.36	Professional		$7.11	$8.64	$19.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $65.00 / $85.00	Professional		$5.28	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.58 / $12.59 / $15.28	Facility		$8.58	$12.59	$15.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $15.28	Professional		$8.75	$8.75	$15.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $22.92 / $39.00	Professional		$15.28	$22.92	$39.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $31.02 / $80.00	Facility		$29.84	$31.02	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $67.14 / $76.09	Professional		$7.80	$67.14	$76.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $15.28 / $15.28	Professional		$15.28	$15.28	$15.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $15.28 / $15.28	Professional		$15.28	$15.28	$15.28
United Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $7.62 / $14.23	Professional		$6.48	$7.62	$14.23