Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $24.24 / $7,113.54	Facility		$10.86	$24.24	$7,113.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.86 / $15.28	Professional		$10.54	$10.86	$15.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.50 / $23.50	Facility		$13.18	$19.50	$23.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $14.22	Professional		$10.54	$10.54	$14.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $15.76 / $19.32	Facility		$10.54	$15.76	$19.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $12.12 / $24.43	Professional		$10.54	$12.12	$24.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $17.44 / $36.25	Facility		$10.54	$17.44	$36.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $15.68 / $28.06	Professional		$10.54	$15.68	$28.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $10.96 / $15.81	Facility		$10.54	$10.96	$15.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $21.08 / $21.08	Professional		$6.14	$21.08	$21.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $12.12 / $18.88	Facility		$11.78	$12.12	$18.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $13.49 / $1,253.85	Professional		$12.12	$13.49	$1,253.85
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 $10.54 / $11.07 / $15.92	Facility		$10.54	$11.07	$15.92
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $21.08 / $21.08	Professional		$6.14	$21.08	$21.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $16.47 / $42.00	Professional		$10.54	$16.47	$42.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $10.54 / $100.00	Facility		$10.54	$10.54	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $24.90 / $1,253.85	Professional		$10.54	$24.90	$1,253.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $14.80 / $19.98	Professional		$14.80	$14.80	$19.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.86 / $13.28	Professional		$10.54	$10.86	$13.28