Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $20.09 / $23.66	Facility		$10.61	$20.09	$23.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.61 / $24.52	Professional		$10.30	$10.61	$24.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.05 / $22.97	Facility		$12.88	$19.05	$22.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $13.08	Professional		$10.30	$10.30	$13.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $14.10 / $16.48	Facility		$14.10	$14.10	$16.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $26.98 / $38.57	Facility		$10.30	$26.98	$38.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $14.70 / $16.70	Professional		$10.50	$14.70	$16.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $10.30 / $22.81	Facility		$7.29	$10.30	$22.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $20.60 / $20.60	Professional		$7.22	$20.60	$20.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $10.30 / $22.81	Facility		$7.29	$10.30	$22.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $20.60	Professional		$10.30	$10.30	$20.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $65.00 / $85.00	Professional		$10.30	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $10.30 / $22.81	Facility		$7.29	$10.30	$22.81
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $20.60 / $20.60	Professional		$7.22	$20.60	$20.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $19.44 / $56.00	Professional		$10.30	$19.44	$56.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $14.46 / $14.46	Professional		$10.09	$14.46	$14.46
United Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $13.39	Professional		$10.30	$10.30	$13.39