Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Facility		$15.15	$15.15	$15.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $13.63 / $17.87	Professional		$9.52	$13.63	$17.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $40.40 / $40.40	Facility		$22.20	$40.40	$40.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $20.65 / $28.48	Professional		$20.64	$20.65	$28.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $13.49 / $47.49	Facility		$1.79	$13.49	$47.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $14.57 / $59.47	Facility		$14.57	$14.57	$59.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $25.88 / $32.34	Professional		$14.57	$25.88	$32.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $20.00 / $28.75	Facility		$7.94	$20.00	$28.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $16.62 / $30.00	Professional		$16.62	$16.62	$30.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $30.00 / $104.55	Facility		$7.94	$30.00	$104.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $14.16 / $28.81	Professional		$10.43	$14.16	$28.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $16.61 / $65.00	Professional		$9.96	$16.61	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $20.00 / $28.75	Facility		$7.94	$20.00	$28.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $16.62 / $30.00	Professional		$16.62	$16.62	$30.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $5.52 / $7.17	Professional		$2.93	$5.52	$7.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $43.10 / $104.55	Facility		$14.57	$43.10	$104.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $17.44	Professional		$14.57	$14.57	$17.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $23.60 / $23.60	Professional		$23.60	$23.60	$23.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $23.60 / $23.60	Professional		$23.60	$23.60	$23.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $13.80 / $27.18	Professional		$8.61	$13.80	$27.18