Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $23.94 / $191.71	Facility		$7.29	$23.94	$191.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.36 / $19.00	Professional		$7.08	$7.36	$19.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.85 / $8.85 / $8.85	Facility		$8.85	$8.85	$8.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $8.99	Professional		$7.08	$7.08	$8.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $11.33	Facility		$9.69	$9.69	$11.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $19.21 / $27.46	Facility		$7.08	$19.21	$27.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $15.37 / $17.46	Professional		$8.28	$15.37	$17.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $7.98 / $15.67	Facility		$6.62	$7.98	$15.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $14.16 / $14.16	Professional		$4.01	$14.16	$14.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $7.98 / $87.21	Facility		$6.62	$7.98	$87.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $7.98 / $14.16	Professional		$7.98	$7.98	$14.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $65.00 / $85.00	Professional		$8.15	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $7.98 / $15.67	Facility		$6.62	$7.98	$15.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $14.16 / $14.16	Professional		$4.01	$14.16	$14.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.02 / $23.00	Professional		$7.08	$11.02	$23.00
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 $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $7.98 / $7.98	Professional		$7.98	$7.98	$7.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $9.94 / $11.58	Professional		$9.15	$9.94	$11.58
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $10.62	Professional		$7.08	$7.08	$10.62