Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $18.43 / $18.43	Facility		$18.43	$18.43	$18.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $16.27 / $21.25	Professional		$11.32	$16.27	$21.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $49.69 / $49.69	Facility		$27.30	$49.69	$49.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $25.43 / $36.85	Professional		$25.39	$25.43	$36.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $19.28 / $63.00	Facility		$1.93	$19.28	$63.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $71.19	Facility		$17.30	$17.30	$71.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $30.75 / $38.44	Professional		$14.71	$30.75	$38.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $23.55 / $33.86	Facility		$8.06	$23.55	$33.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $35.33	Professional		$16.85	$16.85	$35.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $35.33 / $124.16	Facility		$8.06	$35.33	$124.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $14.88 / $33.49	Professional		$11.54	$14.88	$33.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $50.00 / $65.00	Professional		$13.57	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $23.55 / $33.86	Facility		$8.06	$23.55	$33.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $35.33	Professional		$16.85	$16.85	$35.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $6.31 / $8.19	Professional		$3.60	$6.31	$8.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $53.10 / $124.16	Facility		$17.30	$53.10	$124.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $17.30 / $20.83	Professional		$14.71	$17.30	$20.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $29.16	Professional		$29.16	$29.16	$29.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $29.16	Professional		$29.16	$29.16	$29.16
United Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $14.42 / $31.88	Professional		$10.58	$14.42	$31.88