Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.78 / $24,148.98	Facility		$8.91	$17.78	$24,148.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.91 / $15.27	Professional		$8.66	$8.91	$15.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.83 / $10.83 / $10.83	Facility		$10.83	$10.83	$10.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.66 / $12.99	Professional		$8.66	$8.66	$12.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $12.82 / $13.86	Facility		$11.86	$12.82	$13.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $18.85 / $26.95	Facility		$8.66	$18.85	$26.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $10.65 / $12.10	Professional		$8.59	$10.65	$12.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $8.89 / $13.37	Facility		$4.63	$8.89	$13.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $17.32 / $17.32	Professional		$1.60	$17.32	$17.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $9.61 / $100.00	Facility		$8.66	$9.61	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $8.89 / $17.32	Professional		$6.67	$8.89	$17.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $65.00 / $90.00	Professional		$8.44	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $8.89 / $13.37	Facility		$4.63	$8.89	$13.37
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $17.32 / $17.32	Professional		$1.60	$17.32	$17.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $9.67 / $27.02	Professional		$8.66	$9.67	$27.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $85.00 / $100.00	Facility		$17.63	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.66 / $17.63	Professional		$8.66	$8.66	$17.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $8.44	Professional		$8.44	$8.44	$8.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $12.16 / $12.16	Professional		$6.21	$12.16	$12.16
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $8.66 / $13.86	Professional		$7.79	$8.66	$13.86