Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $17.92 / $17.92	Facility		$17.92	$17.92	$17.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $14.08 / $20.94	Professional		$11.16	$14.08	$20.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $44.23 / $44.23	Facility		$24.30	$44.23	$44.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $22.61 / $29.90	Professional		$22.60	$22.61	$29.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $17.14 / $75.61	Facility		$1.71	$17.14	$75.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $20.91 / $25.82	Facility		$15.88	$20.91	$25.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $28.50 / $35.63	Professional		$15.88	$28.50	$35.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $28.26 / $40.63	Facility		$11.38	$28.26	$40.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $23.79 / $42.40	Professional		$23.79	$23.79	$42.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $42.40 / $113.86	Facility		$11.38	$42.40	$113.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $18.55 / $33.94	Professional		$12.91	$18.55	$33.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $50.00 / $65.00	Professional		$15.31	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $28.26 / $40.63	Facility		$11.38	$28.26	$40.63
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $23.79 / $42.40	Professional		$23.79	$23.79	$42.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $5.52 / $7.17	Professional		$3.21	$5.52	$7.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.91 / $47.22 / $113.86	Facility		$20.91	$47.22	$113.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $15.88 / $21.26	Professional		$15.88	$15.88	$21.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $31.08 / $31.08	Professional		$31.08	$31.08	$31.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $31.08 / $31.08	Professional		$31.08	$31.08	$31.08
United Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $16.84 / $32.31	Professional		$11.93	$16.84	$32.31