Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $10.38 / $10.38	Facility		$10.38	$10.38	$10.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $10.38 / $17.75	Professional		$9.34	$10.38	$17.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $22.64 / $37.46	Facility		$20.58	$22.64	$37.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $19.14 / $25.31	Professional		$17.80	$19.14	$25.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $44.04 / $44.04	Facility		$14.81	$44.04	$44.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $42.21 / $85.37	Facility		$13.34	$42.21	$85.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $30.00 / $38.95	Professional		$9.74	$30.00	$38.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $15.57 / $23.67	Facility		$6.34	$15.57	$23.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $19.67 / $24.70	Professional		$11.80	$19.67	$24.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $20.58 / $101.74	Facility		$10.38	$20.58	$101.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $11.45 / $22.41	Professional		$9.07	$11.45	$22.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $55.00 / $85.00	Professional		$5.97	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $15.57 / $23.67	Facility		$6.34	$15.57	$23.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $19.67 / $24.70	Professional		$11.80	$19.67	$24.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $31.69 / $59.22	Professional		$20.58	$31.69	$59.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $40.20 / $101.74	Facility		$13.34	$40.20	$101.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $13.34 / $129.84	Professional		$9.74	$13.34	$129.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $20.58 / $20.58	Professional		$20.58	$20.58	$20.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $20.58 / $20.58	Professional		$20.58	$20.58	$20.58
United Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $10.79 / $20.58	Professional		$8.21	$10.79	$20.58