Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $14.68 / $17.30	Facility		$7.52	$14.68	$17.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $7.52 / $27.88	Professional		$7.31	$7.52	$27.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $9.14 / $9.14	Facility		$9.14	$9.14	$9.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $7.31 / $9.27	Professional		$7.31	$7.31	$9.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $11.70	Facility		$10.00	$10.00	$11.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.30 / $24.75 / $35.38	Facility		$7.30	$24.75	$35.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $14.27 / $16.21	Professional		$9.00	$14.27	$16.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $7.53 / $14.24	Facility		$4.11	$7.53	$14.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $14.62 / $14.62	Professional		$1.60	$14.62	$14.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $7.53 / $14.24	Facility		$4.11	$7.53	$14.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $7.53 / $14.62	Professional		$7.53	$7.53	$14.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $65.00 / $85.00	Professional		$8.83	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $7.53 / $14.24	Facility		$4.11	$7.53	$14.24
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $14.62 / $14.62	Professional		$1.60	$14.62	$14.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $11.37 / $29.00	Professional		$7.30	$11.37	$29.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.30 / $7.30 / $100.00	Facility		$7.30	$7.30	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $7.30 / $7.30	Professional		$7.30	$7.30	$7.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.26 / $24.43	Professional		$10.26	$10.26	$24.43
United Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $7.31 / $11.08	Professional		$7.31	$7.31	$11.08