Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $11.63 / $11.63	Facility		$11.63	$11.63	$11.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.01 / $13.04	Professional		$6.92	$10.01	$13.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $30.03 / $30.03	Facility		$16.50	$30.03	$30.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $15.37 / $22.27	Professional		$15.35	$15.37	$22.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $11.18 / $35.36	Facility		$1.48	$11.18	$35.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.65 / $10.65 / $41.45	Facility		$10.65	$10.65	$41.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $18.00 / $22.50	Professional		$10.65	$18.00	$22.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.59 / $16.53 / $23.76	Facility		$6.59	$16.53	$23.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $13.08 / $24.79	Professional		$13.08	$13.08	$24.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.59 / $23.76 / $80.00	Facility		$6.59	$23.76	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $11.21 / $20.30	Professional		$8.26	$11.21	$20.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $50.00 / $65.00	Professional		$7.76	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.59 / $16.57 / $23.76	Facility		$6.59	$16.57	$23.76
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $13.08 / $24.79	Professional		$13.08	$13.08	$24.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.16 / $4.09	Professional		$2.14	$3.16	$4.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $32.10 / $80.00	Facility		$12.74	$32.10	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $10.65 / $13.97	Professional		$10.65	$10.65	$13.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $19.03 / $19.03	Professional		$19.03	$19.03	$19.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $19.03 / $19.03	Professional		$19.03	$19.03	$19.03
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.21 / $20.30	Professional		$7.08	$11.21	$20.30