Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $15.09 / $17.77	Facility		$6.32	$15.09	$17.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.32 / $17.19	Professional		$6.14	$6.32	$17.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $7.68 / $7.68	Facility		$7.68	$7.68	$7.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $7.79	Professional		$6.14	$6.14	$7.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $8.41 / $9.82	Facility		$8.41	$8.41	$9.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $20.19 / $28.86	Facility		$6.14	$20.19	$28.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.96 / $15.86	Professional		$8.51	$13.96	$15.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $7.74 / $13.55	Facility		$6.14	$7.74	$13.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $12.28 / $12.28	Professional		$2.41	$12.28	$12.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $7.74 / $30.70	Facility		$6.29	$7.74	$30.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $7.74 / $12.28	Professional		$7.74	$7.74	$12.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $65.00 / $85.00	Professional		$8.35	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $7.74 / $13.55	Facility		$6.14	$7.74	$13.55
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $12.28 / $12.28	Professional		$2.41	$12.28	$12.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $9.71 / $27.00	Professional		$6.14	$9.71	$27.00
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 $6.14 / $6.14 / $6.14	Professional		$6.14	$6.14	$6.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $8.61 / $12.89	Professional		$8.57	$8.61	$12.89
United Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $9.21	Professional		$6.14	$6.14	$9.21