Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.08 / $21.02 / $24.75	Facility		$11.08	$21.02	$24.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $11.08 / $18.52	Professional		$10.76	$11.08	$18.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $19.91 / $23.99	Facility		$13.45	$19.91	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $13.66	Professional		$10.76	$10.76	$13.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $14.73 / $17.22	Facility		$14.73	$14.73	$17.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $24.66 / $35.25	Facility		$10.76	$24.66	$35.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $15.09 / $17.14	Professional		$10.76	$15.09	$17.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $10.78 / $23.52	Facility		$7.62	$10.78	$23.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $21.52 / $21.52	Professional		$16.17	$21.52	$21.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $10.78 / $23.52	Facility		$7.62	$10.78	$23.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $10.78 / $21.52	Professional		$10.78	$10.78	$21.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $65.00 / $85.00	Professional		$10.48	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $10.78 / $23.52	Facility		$7.62	$10.78	$23.52
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $21.52 / $21.52	Professional		$16.17	$21.52	$21.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $12.55 / $32.00	Professional		$10.76	$12.55	$32.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $10.76	Professional		$10.76	$10.76	$10.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $15.11 / $15.11	Professional		$10.27	$15.11	$15.11
United Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $15.34	Professional		$10.76	$10.76	$15.34