Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $17.59 / $20.72	Facility		$9.27	$17.59	$20.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.27 / $22.11	Professional		$9.01	$9.27	$22.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $11.26 / $11.26	Facility		$11.26	$11.26	$11.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.01 / $11.44	Professional		$9.01	$9.01	$11.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $12.33 / $14.42	Facility		$12.33	$12.33	$14.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $16.44 / $23.50	Facility		$9.01	$16.44	$23.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $13.41 / $15.24	Professional		$8.61	$13.41	$15.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $9.02 / $19.95	Facility		$8.94	$9.02	$19.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $18.02 / $18.02	Professional		$8.55	$18.02	$18.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $9.02 / $19.95	Facility		$8.94	$9.02	$19.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $18.02	Professional		$9.02	$9.02	$18.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $65.00 / $85.00	Professional		$8.21	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $9.02 / $19.95	Facility		$8.94	$9.02	$19.95
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $18.02 / $18.02	Professional		$8.55	$18.02	$18.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $12.72 / $28.00	Professional		$9.01	$12.72	$28.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $9.01 / $100.00	Facility		$9.01	$9.01	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.01 / $9.01	Professional		$9.01	$9.01	$9.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.65 / $15.21	Professional		$11.75	$12.65	$15.21
United Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.01 / $12.61	Professional		$9.01	$9.01	$12.61