Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.91 / $15.36 / $23.04	Facility		$7.91	$15.36	$23.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $8.80 / $23.04	Professional		$8.52	$8.80	$23.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $15.80 / $19.04	Facility		$10.68	$15.80	$19.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $8.53 / $10.84	Professional		$8.53	$8.53	$10.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $13.66 / $15.65	Facility		$12.64	$13.66	$15.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $18.32 / $26.18	Facility		$8.53	$18.32	$26.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $13.86 / $15.75	Professional		$7.42	$13.86	$15.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $7.68 / $13.29	Facility		$7.68	$7.68	$13.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $17.07 / $17.07	Professional		$6.42	$17.07	$17.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $7.68 / $13.29	Facility		$7.68	$7.68	$13.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $8.55 / $17.07	Professional		$7.68	$8.55	$17.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $65.00 / $85.00	Professional		$7.08	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $7.68 / $13.29	Facility		$7.68	$7.68	$13.29
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $17.07 / $17.07	Professional		$6.42	$17.07	$17.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $10.22 / $21.43	Professional		$8.53	$10.22	$21.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $8.53 / $100.00	Facility		$8.53	$8.53	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $8.53 / $8.53	Professional		$8.53	$8.53	$8.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $11.99 / $18.89	Professional		$11.99	$11.99	$18.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $9.51 / $12.81	Professional		$8.53	$9.51	$12.81