Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $13.24 / $13.24	Facility		$13.24	$13.24	$13.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.57 / $15.20	Professional		$8.11	$11.57	$15.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $36.40 / $36.40	Facility		$20.00	$36.40	$36.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $18.60 / $26.83	Professional		$18.48	$18.60	$26.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $14.24 / $42.52	Facility		$4.26	$14.24	$42.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $13.51 / $17.73	Facility		$13.51	$13.51	$17.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $22.50 / $28.13	Professional		$13.51	$22.50	$28.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $18.14 / $23.83	Facility		$7.20	$18.14	$23.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.04 / $23.86	Professional		$14.04	$14.04	$23.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $22.86 / $96.41	Facility		$7.20	$22.86	$96.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $12.25 / $24.05	Professional		$9.44	$12.25	$24.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.29 / $50.00 / $65.00	Professional		$8.29	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $18.14 / $23.83	Facility		$7.20	$18.14	$23.83
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.04 / $23.86	Professional		$14.04	$14.04	$23.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.73 / $6.15	Professional		$2.64	$4.73	$6.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $38.82 / $96.41	Facility		$14.17	$38.82	$96.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $13.51 / $17.73	Professional		$13.51	$13.51	$17.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $19.88 / $19.88	Professional		$19.88	$19.88	$19.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $19.88 / $19.88	Professional		$19.88	$19.88	$19.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $11.93 / $23.86	Professional		$7.74	$11.93	$23.86