Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.24 / $20.32	Facility		$10.47	$15.24	$20.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.27 / $10.58	Professional		$10.26	$10.27	$10.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $19.00 / $22.90	Facility		$12.84	$19.00	$22.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $13.04	Professional		$10.27	$10.27	$13.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $14.06 / $16.43	Facility		$14.06	$14.06	$16.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $25.11 / $35.89	Facility		$10.27	$25.11	$35.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $16.02 / $18.20	Professional		$10.46	$16.02	$18.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $10.16 / $22.81	Facility		$10.16	$10.16	$22.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $20.54 / $20.54	Professional		$15.24	$20.54	$20.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $10.16 / $22.10	Facility		$10.16	$10.16	$22.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $20.54	Professional		$10.16	$10.16	$20.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $25.08 / $85.00	Professional		$10.28	$25.08	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $10.16 / $22.81	Facility		$10.16	$10.16	$22.81
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $20.54 / $20.54	Professional		$15.24	$20.54	$20.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $15.94 / $33.50	Professional		$10.27	$15.94	$33.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $129.60 / $129.60 / $129.60	Facility		$129.60	$129.60	$129.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.27	Professional		$10.27	$10.27	$10.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $14.42 / $14.42	Professional		$14.42	$14.42	$14.42
United Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $14.38	Professional		$10.27	$10.27	$14.38