Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $14.12 / $16.61	Facility		$7.45	$14.12	$16.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.49 / $14.93	Professional		$7.28	$7.49	$14.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $13.47 / $16.23	Facility		$9.10	$13.47	$16.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $9.24	Professional		$7.28	$7.28	$9.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $9.96 / $11.65	Facility		$9.96	$9.96	$11.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $17.16 / $24.52	Facility		$7.28	$17.16	$24.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $10.63 / $12.08	Professional		$7.28	$10.63	$12.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $7.24 / $15.67	Facility		$4.97	$7.24	$15.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $14.56 / $14.56	Professional		$10.86	$14.56	$14.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $7.24 / $15.67	Facility		$4.97	$7.24	$15.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $14.56	Professional		$7.24	$7.24	$14.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $65.00 / $85.00	Professional		$7.03	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $7.24 / $15.67	Facility		$4.97	$7.24	$15.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $14.56 / $14.56	Professional		$10.86	$14.56	$14.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $8.86 / $22.00	Professional		$7.27	$8.86	$22.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $7.28	Professional		$7.28	$7.28	$7.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $10.22 / $10.22	Professional		$6.84	$10.22	$10.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $9.97	Professional		$7.28	$7.28	$9.97