Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $22.21 / $26.16	Facility		$11.73	$22.21	$26.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.45 / $40.92	Professional		$13.06	$13.45	$40.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $16.32 / $16.32	Facility		$16.32	$16.32	$16.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $16.57	Professional		$13.06	$13.06	$16.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $17.88 / $20.90	Facility		$17.88	$17.88	$20.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $29.84 / $42.66	Facility		$13.06	$29.84	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $21.71 / $24.68	Professional		$12.55	$21.71	$24.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $11.39 / $28.51	Facility		$11.39	$11.39	$28.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $26.12 / $26.12	Professional		$16.03	$26.12	$26.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $11.39 / $24.94	Facility		$11.39	$11.39	$24.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $26.12	Professional		$11.39	$11.39	$26.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $65.00 / $85.00	Professional		$11.94	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $11.39 / $28.51	Facility		$11.39	$11.39	$28.51
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $26.12 / $26.12	Professional		$16.03	$26.12	$26.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $18.51 / $38.00	Professional		$13.06	$18.51	$38.00
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 $13.06 / $13.06 / $13.06	Professional		$13.06	$13.06	$13.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.34 / $24.21	Professional		$18.07	$18.34	$24.21
United Facility/Professional Facility Modifier Low / Median / High Price $25.67 / $25.67 / $27.94	Facility		$25.67	$25.67	$27.94
United Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $19.59	Professional		$13.06	$13.06	$19.59