Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $11.67 / $11.67	Facility		$11.67	$11.67	$11.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $8.73 / $13.11	Professional		$7.35	$8.73	$13.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $29.67 / $29.67	Facility		$16.30	$29.67	$29.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $16.30 / $20.37	Professional		$15.16	$16.30	$20.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $11.49 / $34.88	Facility		$1.69	$11.49	$34.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $13.82 / $18.22	Facility		$10.87	$13.82	$18.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $18.75 / $23.44	Professional		$10.87	$18.75	$23.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $17.51 / $24.89	Facility		$9.00	$17.51	$24.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $14.69 / $25.97	Professional		$14.69	$14.69	$25.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $21.64 / $80.00	Facility		$9.00	$21.64	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $11.84 / $20.53	Professional		$8.00	$11.84	$20.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $50.00 / $65.00	Professional		$10.89	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $17.51 / $24.89	Facility		$9.00	$17.51	$24.89
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $14.69 / $25.97	Professional		$14.69	$14.69	$25.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.16 / $4.09	Professional		$2.14	$3.16	$4.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $31.66 / $80.00	Facility		$14.27	$31.66	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $10.87 / $14.27	Professional		$10.87	$10.87	$14.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $19.41 / $19.41	Professional		$19.41	$19.41	$19.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $19.41 / $19.41	Professional		$19.41	$19.41	$19.41
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $11.57 / $20.03	Professional		$7.62	$11.57	$20.03