Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.42 / $24.80 / $87.67	Facility		$12.42	$24.80	$87.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.42 / $27.25	Professional		$12.06	$12.42	$27.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $15.08 / $15.08	Facility		$15.08	$15.08	$15.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.06 / $15.31	Professional		$12.06	$12.06	$15.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $16.51 / $19.30	Facility		$16.51	$16.51	$19.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $25.38 / $36.27	Facility		$12.05	$25.38	$36.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $17.53 / $19.93	Professional		$10.31	$17.53	$19.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $10.79 / $26.38	Facility		$10.79	$10.79	$26.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $24.12 / $24.12	Professional		$16.19	$24.12	$24.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $15.62 / $80.42	Facility		$10.79	$15.62	$80.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $22.66	Professional		$10.79	$10.79	$22.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $65.00 / $85.00	Professional		$9.82	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $10.79 / $26.38	Facility		$10.79	$10.79	$26.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $24.12 / $24.12	Professional		$16.19	$24.12	$24.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $15.22 / $36.00	Professional		$12.05	$15.22	$36.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $12.05 / $85.00	Facility		$12.05	$12.05	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $12.05	Professional		$12.05	$12.05	$12.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Professional		$10.79	$10.79	$10.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $16.93 / $22.33	Professional		$16.93	$16.93	$22.33
United Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $21.11 / $22.98	Facility		$21.11	$21.11	$22.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.06 / $19.30	Professional		$12.06	$12.06	$19.30