Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $12.82 / $16.89	Professional		$9.01	$12.82	$16.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $40.59 / $40.59	Facility		$22.30	$40.59	$40.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $20.74 / $27.42	Professional		$17.13	$20.74	$27.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $13.32 / $47.72	Facility		$1.78	$13.32	$47.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $13.81 / $54.97	Facility		$13.81	$13.81	$54.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $23.63 / $29.53	Professional		$13.81	$23.63	$29.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.84 / $19.73 / $28.38	Facility		$7.84	$19.73	$28.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $29.62	Professional		$16.39	$16.39	$29.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.84 / $80.00 / $99.12	Facility		$7.84	$80.00	$99.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $13.66 / $27.42	Professional		$10.30	$13.66	$27.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $18.97 / $65.00	Professional		$11.38	$18.97	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.84 / $22.71 / $28.38	Facility		$7.84	$22.71	$28.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $29.62	Professional		$16.39	$16.39	$29.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $4.73 / $6.15	Professional		$2.94	$4.73	$6.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $43.30 / $99.12	Facility		$13.81	$43.30	$99.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $13.81 / $16.23	Professional		$13.81	$13.81	$16.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $23.83 / $23.83	Professional		$23.83	$23.83	$23.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $23.83 / $23.83	Professional		$23.83	$23.83	$23.83
United Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $13.33 / $23.83	Professional		$8.69	$13.33	$23.83