Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $19.46 / $22.34	Facility		$11.00	$19.46	$22.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.00 / $16.72	Professional		$10.68	$11.00	$16.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $19.76 / $23.82	Facility		$13.35	$19.76	$23.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $14.41	Professional		$10.68	$10.68	$14.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $19.22 / $19.57	Facility		$17.09	$19.22	$19.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $19.05 / $39.63	Facility		$10.68	$19.05	$39.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $12.98 / $30.96	Professional		$10.68	$12.98	$30.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $11.00 / $42.00	Facility		$9.73	$11.00	$42.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $21.36 / $23.51	Professional		$14.60	$21.36	$23.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $10.02 / $35.69	Facility		$9.73	$10.02	$35.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $10.83 / $424.84	Professional		$9.73	$10.83	$424.84
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 $9.73 / $11.00 / $42.00	Facility		$9.73	$11.00	$42.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $21.36 / $23.51	Professional		$14.60	$21.36	$23.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $15.81 / $39.75	Professional		$10.67	$15.81	$39.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $134.16	Facility		$10.68	$10.68	$134.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $35.70 / $424.84	Professional		$10.68	$35.70	$424.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $9.73 / $9.73	Professional		$9.73	$9.73	$9.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $14.99 / $34.61	Professional		$14.99	$14.99	$34.61
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.21 / $13.46	Professional		$10.68	$11.21	$13.46