Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $8.21 / $8.21	Facility		$8.21	$8.21	$8.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $8.21 / $32.31	Professional		$7.78	$8.21	$32.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $11.20 / $18.48	Facility		$11.20	$11.20	$18.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $10.42 / $12.32	Professional		$10.42	$10.42	$12.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $23.97 / $23.97	Facility		$10.08	$23.97	$23.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $34.75 / $53.31	Facility		$29.74	$34.75	$53.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $16.41 / $21.20	Professional		$5.09	$16.41	$21.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.78 / $11.20 / $11.76	Facility		$7.78	$11.20	$11.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $11.20 / $85.00	Facility		$8.21	$11.20	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $12.66 / $34.00	Professional		$5.59	$12.66	$34.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $90.00	Professional		$65.00	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.78 / $11.20 / $11.76	Facility		$7.78	$11.20	$11.76
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $16.80 / $33.11	Professional		$11.20	$16.80	$33.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $22.74 / $85.00	Facility		$21.88	$22.74	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $11.20 / $11.20	Professional		$11.20	$11.20	$11.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $11.20 / $11.20	Professional		$11.20	$11.20	$11.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $11.20 / $34.00	Professional		$4.38	$11.20	$34.00