Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $15.47 / $15.47	Facility		$15.47	$15.47	$15.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $13.92 / $18.25	Professional		$9.72	$13.92	$18.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $42.59 / $42.59	Facility		$23.40	$42.59	$42.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $21.76 / $31.53	Professional		$21.72	$21.76	$31.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $12.71 / $49.99	Facility		$1.68	$12.71	$49.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.26 / $20.03	Facility		$15.26	$15.26	$20.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $27.00 / $33.75	Professional		$15.26	$27.00	$33.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $18.80 / $27.85	Facility		$7.47	$18.80	$27.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $15.62 / $28.21	Professional		$15.62	$15.62	$28.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $28.21 / $109.28	Facility		$7.47	$28.21	$109.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $13.37 / $28.62	Professional		$9.81	$13.37	$28.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $50.00 / $65.00	Professional		$9.81	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $18.80 / $27.85	Facility		$7.47	$18.80	$27.85
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $15.62 / $28.21	Professional		$15.62	$15.62	$28.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.52 / $7.17	Professional		$3.09	$5.52	$7.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $45.36 / $109.28	Facility		$15.26	$45.36	$109.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $15.26 / $20.03	Professional		$15.26	$15.26	$20.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $23.43 / $23.43	Professional		$23.43	$23.43	$23.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $23.43 / $23.43	Professional		$23.43	$23.43	$23.43
United Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $13.36 / $27.76	Professional		$9.36	$13.36	$27.76