Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $15.39 / $15.39	Facility		$15.39	$15.39	$15.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $13.85 / $17.47	Professional		$9.31	$13.85	$17.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $41.68 / $41.68	Facility		$22.90	$41.68	$41.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $21.30 / $28.16	Professional		$17.84	$21.30	$28.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $16.14 / $52.00	Facility		$1.62	$16.14	$52.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $14.58 / $61.28	Facility		$14.58	$14.58	$61.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $26.63 / $33.28	Professional		$14.58	$26.63	$33.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $19.44 / $27.95	Facility		$6.66	$19.44	$27.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $13.92 / $29.16	Professional		$13.92	$13.92	$29.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $29.16 / $104.64	Facility		$6.66	$29.16	$104.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $12.57 / $28.19	Professional		$9.52	$12.57	$28.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $50.00 / $65.00	Professional		$8.72	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $19.44 / $27.95	Facility		$6.66	$19.44	$27.95
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $13.92 / $29.16	Professional		$13.92	$13.92	$29.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.52 / $7.17	Professional		$3.02	$5.52	$7.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $44.46 / $104.64	Facility		$15.69	$44.46	$104.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $14.58 / $19.14	Professional		$14.58	$14.58	$19.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $24.32 / $24.32	Professional		$24.32	$24.32	$24.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $24.32 / $24.32	Professional		$24.32	$24.32	$24.32
United Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $12.57 / $24.32	Professional		$8.98	$12.57	$24.32