Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $9.30 / $9.30	Facility		$9.30	$9.30	$9.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $9.02 / $21.25	Professional		$4.28	$9.02	$21.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $12.80 / $23.30	Facility		$12.80	$12.80	$23.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $12.98 / $15.63	Professional		$11.90	$12.98	$15.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $22.28 / $29.87	Facility		$2.74	$22.28	$29.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $53.18	Facility		$34.24	$40.02	$53.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $14.26 / $18.75	Professional		$7.13	$14.26	$18.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $10.95 / $23.25	Facility		$7.33	$10.95	$23.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $7.99 / $13.96	Professional		$7.99	$7.99	$13.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $10.95 / $34.72	Facility		$7.33	$10.95	$34.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.43 / $16.82	Professional		$6.03	$7.43	$16.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $58.40 / $70.00	Professional		$11.08	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $10.95 / $23.25	Facility		$7.33	$10.95	$23.25
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $7.99 / $13.96	Professional		$7.99	$7.99	$13.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $3.16 / $4.40	Professional		$1.68	$3.16	$4.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $65.00 / $100.00	Facility		$27.26	$65.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $61.34 / $69.52	Professional		$7.13	$61.34	$69.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $13.96 / $13.96	Professional		$13.96	$13.96	$13.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $13.96 / $13.96	Professional		$13.96	$13.96	$13.96
United Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $6.97 / $12.93	Professional		$5.87	$6.97	$12.93