Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.18 / $13.59 / $16.01	Facility		$7.18	$13.59	$16.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.55 / $16.57	Professional		$10.25	$10.55	$16.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $12.81 / $12.81	Facility		$12.81	$12.81	$12.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.25 / $13.01	Professional		$10.25	$10.25	$13.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $14.03 / $16.39	Facility		$14.03	$14.03	$16.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $16.89 / $24.14	Facility		$9.31	$16.89	$24.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $12.63 / $14.35	Professional		$7.69	$12.63	$14.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $6.97 / $22.81	Facility		$6.29	$6.97	$22.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $20.50 / $20.50	Professional		$9.89	$20.50	$20.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $6.97 / $15.67	Facility		$6.29	$6.97	$15.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $6.97 / $16.34	Professional		$6.97	$6.97	$16.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $65.00 / $85.00	Professional		$7.34	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $6.97 / $22.81	Facility		$6.29	$6.97	$22.81
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $20.50 / $20.50	Professional		$9.89	$20.50	$20.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.67 / $22.00	Professional		$10.25	$10.67	$22.00
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 $10.25 / $10.25 / $10.25	Professional		$10.25	$10.25	$10.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $14.39 / $14.39	Professional		$8.69	$14.39	$14.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.25 / $16.39	Professional		$10.25	$10.25	$16.39