Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $11.72 / $13.45	Facility		$8.40	$11.72	$13.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.40 / $10.19	Professional		$8.15	$8.40	$10.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $15.08 / $18.17	Facility		$10.19	$15.08	$18.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $11.00	Professional		$8.15	$8.15	$11.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $8.75 / $14.93	Facility		$5.86	$8.75	$14.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $8.15 / $18.89	Professional		$5.86	$8.15	$18.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $14.36 / $24.91	Facility		$8.15	$14.36	$24.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $8.15 / $30.99	Professional		$5.17	$8.15	$30.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $8.40 / $70.55	Facility		$5.86	$8.40	$70.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $16.30 / $23.78	Professional		$8.78	$16.30	$23.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $6.03 / $70.55	Facility		$5.86	$6.03	$70.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $6.52 / $7,072.56	Professional		$5.86	$6.52	$7,072.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $8.40 / $70.55	Facility		$5.86	$8.40	$70.55
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $16.30 / $23.78	Professional		$8.78	$16.30	$23.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $8.40 / $15.90	Professional		$7.42	$8.40	$15.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $85.00 / $608.45	Facility		$8.15	$85.00	$608.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $38.67 / $7,072.56	Professional		$8.15	$38.67	$7,072.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $11.44 / $121.65	Professional		$11.44	$11.44	$121.65
United Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.40 / $9.69	Professional		$8.15	$8.40	$9.69