Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.92 / $8.92 / $8.92	Facility		$8.92	$8.92	$8.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $8.92 / $11.70	Professional		$6.72	$8.92	$11.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $15.36 / $27.96	Facility		$15.36	$15.36	$27.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $15.36 / $17.51	Professional		$14.28	$15.36	$17.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $32.86 / $32.86	Facility		$15.36	$32.86	$32.86
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 $7.84 / $10.72 / $22.03	Professional		$7.84	$10.72	$22.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $11.42 / $19.30	Facility		$8.47	$11.42	$19.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $8.80 / $15.36	Professional		$8.80	$8.80	$15.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $12.49 / $21.54	Facility		$8.47	$12.49	$21.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $8.18 / $19.51	Professional		$7.09	$8.18	$19.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $58.40 / $85.00	Professional		$6.92	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $11.42 / $19.30	Facility		$8.47	$11.42	$19.30
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $8.80 / $15.36	Professional		$8.80	$8.80	$15.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $3.16 / $19.07	Professional		$2.16	$3.16	$19.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $65.00 / $100.00	Facility		$30.00	$65.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $10.72 / $76.48	Professional		$7.84	$10.72	$76.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $15.36 / $15.36	Professional		$15.36	$15.36	$15.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $15.36 / $15.36	Professional		$15.36	$15.36	$15.36
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.66 / $12.77	Professional		$6.46	$7.66	$12.77