Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $10.44 / $10.44	Facility		$10.44	$10.44	$10.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $10.44 / $18.77	Professional		$9.88	$10.44	$18.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $22.75 / $37.64	Facility		$20.68	$22.75	$37.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $19.23 / $25.43	Professional		$19.23	$19.23	$25.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $44.26 / $44.26	Facility		$14.88	$44.26	$44.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $43.18 / $86.77	Facility		$13.40	$43.18	$86.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $30.00 / $39.15	Professional		$9.77	$30.00	$39.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $15.66 / $23.78	Facility		$5.94	$15.66	$23.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $19.82 / $24.82	Professional		$11.86	$19.82	$24.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $20.68 / $96.08	Facility		$10.29	$20.68	$96.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $10.84 / $22.53	Professional		$9.03	$10.84	$22.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.70 / $55.00 / $85.00	Professional		$9.70	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $15.66 / $23.78	Facility		$5.94	$15.66	$23.78
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $19.82 / $24.82	Professional		$11.86	$19.82	$24.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $31.84 / $55.20	Professional		$20.68	$31.84	$55.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $40.40 / $96.08	Facility		$13.40	$40.40	$96.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.40 / $103.06	Professional		$9.77	$13.40	$103.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $20.68 / $20.68	Professional		$20.68	$20.68	$20.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $20.68 / $20.68	Professional		$20.68	$20.68	$20.68
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $9.22 / $10.74	Facility		$8.51	$9.22	$10.74
United Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $10.64 / $20.68	Professional		$7.67	$10.64	$20.68