Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $20.63 / $24.28	Facility		$10.89	$20.63	$24.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $11.28 / $25.57	Professional		$10.95	$11.28	$25.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $20.26 / $24.42	Facility		$13.69	$20.26	$24.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $13.90	Professional		$10.95	$10.95	$13.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $17.52	Facility		$15.00	$15.00	$17.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $13.79 / $28.67	Facility		$10.95	$13.79	$28.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.86 / $18.03	Professional		$10.69	$15.86	$18.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $10.58 / $24.23	Facility		$8.61	$10.58	$24.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $21.90 / $21.90	Professional		$15.87	$21.90	$21.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $10.58 / $23.52	Facility		$8.61	$10.58	$23.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $21.90	Professional		$10.58	$10.58	$21.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $55.00 / $85.00	Professional		$10.49	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $10.58 / $24.23	Facility		$8.61	$10.58	$24.23
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $21.90 / $21.90	Professional		$15.87	$21.90	$21.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $13.75 / $35.20	Professional		$10.95	$13.75	$35.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $10.95 / $85.00	Facility		$10.95	$10.95	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $10.95	Professional		$10.95	$10.95	$10.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $15.37 / $15.37	Professional		$11.67	$15.37	$15.37
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $14.24	Professional		$10.95	$10.95	$14.24