Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.13 / $27.05	Facility		$12.13	$12.13	$27.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.13 / $15.16	Professional		$12.13	$12.13	$15.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $14.41 / $14.94	Facility		$12.40	$14.41	$14.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $12.43 / $22.40	Professional		$7.13	$12.43	$22.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $16.07 / $22.99	Facility		$8.86	$16.07	$22.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $11.66 / $13.25	Professional		$6.95	$11.66	$13.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $12.13 / $15.16	Facility		$6.96	$12.13	$15.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $9.61	Professional		$9.61	$9.61	$9.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $7.80 / $15.16	Facility		$6.03	$7.80	$15.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $16.16	Professional		$12.43	$12.43	$16.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $65.00 / $85.00	Professional		$18.73	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $12.13 / $15.16	Facility		$6.96	$12.13	$15.16
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $9.61	Professional		$9.61	$9.61	$9.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $16.02 / $23.10	Professional		$7.55	$16.02	$23.10
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 $12.89 / $12.89 / $12.89	Professional		$12.89	$12.89	$12.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $12.67 / $23.18	Professional		$12.67	$12.67	$23.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $16.16	Professional		$12.43	$12.43	$16.16