Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.32 / $9.32 / $17.32	Facility		$9.32	$9.32	$17.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $7.77 / $9.32	Professional		$6.37	$7.77	$9.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $20.20 / $21.37	Facility		$16.71	$20.20	$21.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $3.84 / $32.15	Professional		$3.84	$3.84	$32.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.68 / $21.09 / $21.92	Facility		$5.68	$21.09	$21.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $25.27 / $38.77	Facility		$21.63	$25.27	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $10.31 / $23.78	Professional		$4.12	$10.31	$23.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.30 / $8.05 / $9.94	Facility		$7.30	$8.05	$9.94
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $8.69 / $8.69	Professional		$8.69	$8.69	$8.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.37 / $8.05 / $80.00	Facility		$6.37	$8.05	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $7.77 / $21.52	Professional		$4.66	$7.77	$21.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $15.25 / $85.00	Professional		$3.89	$15.25	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.30 / $8.05 / $9.94	Facility		$7.30	$8.05	$9.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $8.69 / $8.69	Professional		$8.69	$8.69	$8.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $18.93 / $26.40	Professional		$8.98	$18.93	$26.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $15.54 / $80.00	Facility		$15.54	$15.54	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $4.08 / $4.12	Professional		$4.08	$4.08	$4.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $16.55	Professional		$8.00	$8.00	$16.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $30.98 / $42.42	Professional		$8.00	$30.98	$42.42
United Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $6.90 / $18.73	Facility		$6.90	$6.90	$18.73
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.56 / $22.81	Professional		$4.51	$6.56	$22.81