Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $9.51 / $9.51	Facility		$9.51	$9.51	$9.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $10.19 / $19.34	Professional		$9.51	$10.19	$19.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $20.74 / $34.31	Facility		$18.85	$20.74	$34.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $17.53 / $23.18	Professional		$17.53	$17.53	$23.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $40.34 / $40.34	Facility		$13.55	$40.34	$40.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $39.40 / $78.38	Facility		$12.18	$39.40	$78.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $27.19 / $35.68	Professional		$8.89	$27.19	$35.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $14.27 / $21.68	Facility		$5.91	$14.27	$21.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $18.85 / $22.62	Professional		$10.78	$18.85	$22.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $18.85 / $95.99	Facility		$9.51	$18.85	$95.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $10.68 / $20.52	Professional		$8.48	$10.68	$20.52
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 $5.91 / $14.27 / $21.68	Facility		$5.91	$14.27	$21.68
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $18.85 / $22.62	Professional		$10.78	$18.85	$22.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $29.00 / $55.20	Professional		$18.85	$29.00	$55.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $36.82 / $95.99	Facility		$12.18	$36.82	$95.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $12.18 / $121.08	Professional		$8.89	$12.18	$121.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $18.85 / $18.85	Professional		$18.85	$18.85	$18.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $18.85 / $18.85	Professional		$18.85	$18.85	$18.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $9.40 / $18.02	Professional		$7.51	$9.40	$18.02