Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $6.82 / $6.82	Facility		$6.82	$6.82	$6.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $8.14 / $12.92	Professional		$6.82	$8.14	$12.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $26.62 / $26.62	Professional		$13.73	$26.62	$26.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.71 / $10.71 / $10.71	Facility		$10.71	$10.71	$10.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $40.00 / $55.98	Facility		$28.65	$40.00	$55.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $22.97 / $28.65	Professional		$18.38	$22.97	$28.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $10.23 / $15.85	Facility		$6.58	$10.23	$15.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $14.86 / $90.00	Facility		$6.82	$14.86	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $10.60 / $17.23	Professional		$7.84	$10.60	$17.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $10.23 / $15.85	Facility		$6.58	$10.23	$15.85
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $31.55 / $40.97	Professional		$17.19	$31.55	$40.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $25.48 / $90.00	Facility		$25.48	$25.48	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $28.65 / $93.64	Professional		$20.91	$28.65	$93.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $22.04 / $22.49	Professional		$19.12	$22.04	$22.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $8.66 / $15.29	Professional		$6.81	$8.66	$15.29