Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $19.32 / $22.77	Facility		$10.07	$19.32	$22.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.07 / $17.03	Professional		$9.77	$10.07	$17.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $18.07 / $21.79	Facility		$12.23	$18.07	$21.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $12.42	Professional		$9.77	$9.77	$12.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $13.39 / $15.65	Facility		$13.39	$13.39	$15.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $22.16 / $31.67	Facility		$9.77	$22.16	$31.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.21 / $16.14	Professional		$9.77	$14.21	$16.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.91 / $21.39	Facility		$9.77	$9.91	$21.39
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $19.55 / $19.55	Professional		$14.87	$19.55	$19.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $9.91 / $22.10	Facility		$9.91	$9.91	$22.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $9.91 / $19.55	Professional		$9.91	$9.91	$19.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $65.00 / $85.00	Professional		$9.52	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.91 / $21.39	Facility		$9.77	$9.91	$21.39
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $19.55 / $19.55	Professional		$14.87	$19.55	$19.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.37 / $31.90	Professional		$9.77	$11.37	$31.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $85.00	Facility		$9.77	$9.77	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $13.73 / $13.73	Professional		$13.73	$13.73	$13.73
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $14.27	Professional		$9.77	$9.77	$14.27