Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $17.80 / $20.96	Facility		$9.34	$17.80	$20.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.34 / $17.00	Professional		$9.07	$9.34	$17.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $16.78 / $20.23	Facility		$11.34	$16.78	$20.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $11.51	Professional		$9.07	$9.07	$11.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $12.41 / $14.51	Facility		$12.41	$12.41	$14.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $19.93 / $28.48	Facility		$9.07	$19.93	$28.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $11.50 / $13.06	Professional		$8.46	$11.50	$13.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $9.13 / $19.95	Facility		$4.97	$9.13	$19.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $18.14 / $18.14	Professional		$13.70	$18.14	$18.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $9.13 / $19.95	Facility		$4.97	$9.13	$19.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $9.13 / $18.14	Professional		$9.13	$9.13	$18.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $65.00 / $85.00	Professional		$8.03	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $9.13 / $19.95	Facility		$4.97	$9.13	$19.95
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $18.14 / $18.14	Professional		$13.70	$18.14	$18.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $10.75 / $27.50	Professional		$9.06	$10.75	$27.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Facility		$95.00	$95.00	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $9.07	Professional		$9.07	$9.07	$9.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $12.73 / $12.73	Professional		$6.78	$12.73	$12.73
United Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $8.03 / $18.80	Facility		$8.03	$8.03	$18.80
United Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $12.42	Professional		$9.07	$9.07	$12.42