Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $11.01 / $11.01	Facility		$11.01	$11.01	$11.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $11.01 / $44.28	Professional		$10.64	$11.01	$44.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $13.25 / $21.86	Facility		$13.25	$13.25	$21.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $14.57	Professional		$12.32	$12.32	$14.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $28.36 / $28.36	Facility		$11.93	$28.36	$28.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $19.69 / $24.93	Professional		$14.57	$19.69	$24.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $13.25 / $13.91	Facility		$10.63	$13.25	$13.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $8.55 / $8.55	Professional		$8.55	$8.55	$8.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $13.25 / $85.00	Facility		$10.63	$13.25	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $21.67 / $54.37	Professional		$7.45	$21.67	$54.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $65.00 / $90.00	Professional		$11.46	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $13.25 / $13.91	Facility		$10.63	$13.25	$13.91
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $8.55 / $8.55	Professional		$8.55	$8.55	$8.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $23.40 / $39.14	Professional		$13.25	$23.40	$39.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $26.90 / $85.00	Facility		$25.72	$26.90	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $14.57	Professional		$14.57	$14.57	$14.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $17.87 / $17.87	Professional		$17.87	$17.87	$17.87
Security Health Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Facility		$13.00	$13.00	$13.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $17.87 / $17.87	Professional		$17.87	$17.87	$17.87
United Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $18.66 / $50.68	Professional		$5.07	$18.66	$50.68