Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.97 / $17.42 / $315.97	Facility		$8.97	$17.42	$315.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.28 / $24.52	Professional		$9.02	$9.28	$24.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $11.28 / $11.28	Facility		$11.28	$11.28	$11.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $11.45	Professional		$9.02	$9.02	$11.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $12.35 / $14.43	Facility		$12.35	$12.35	$14.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $21.18 / $30.27	Facility		$9.01	$21.18	$30.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $14.71 / $16.71	Professional		$9.00	$14.71	$16.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $8.71 / $19.95	Facility		$7.62	$8.71	$19.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $18.04 / $18.04	Professional		$1.87	$18.04	$18.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $8.71 / $19.23	Facility		$7.62	$8.71	$19.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $18.04	Professional		$8.71	$8.71	$18.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $65.00 / $85.00	Professional		$8.57	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $8.71 / $19.95	Facility		$7.62	$8.71	$19.95
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $18.04 / $18.04	Professional		$1.87	$18.04	$18.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $13.29 / $27.00	Professional		$9.01	$13.29	$27.00
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 $10.14 / $12.66 / $13.67	Professional		$10.14	$12.66	$13.67
United Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $18.43 / $20.05	Facility		$18.43	$18.43	$20.05
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $13.53	Professional		$9.02	$9.02	$13.53