Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $9.52 / $9.52	Facility		$9.52	$9.52	$9.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $9.52 / $19.13	Professional		$9.39	$9.52	$19.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $20.78 / $34.38	Facility		$18.89	$20.78	$34.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $17.57 / $23.23	Professional		$16.34	$17.57	$23.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $40.42 / $40.42	Facility		$13.60	$40.42	$40.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $39.40 / $78.38	Facility		$14.44	$39.40	$78.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $27.19 / $35.75	Professional		$10.54	$27.19	$35.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $14.30 / $21.72	Facility		$6.08	$14.30	$21.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $18.89 / $25.19	Professional		$10.82	$18.89	$25.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $18.89 / $101.79	Facility		$9.52	$18.89	$101.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $12.62 / $21.34	Professional		$8.77	$12.62	$21.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $55.00 / $85.00	Professional		$8.63	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $14.48 / $21.72	Facility		$6.08	$14.48	$21.72
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $18.89 / $25.19	Professional		$10.82	$18.89	$25.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $29.07 / $56.21	Professional		$18.89	$29.07	$56.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $36.90 / $101.79	Facility		$14.44	$36.90	$101.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $14.44 / $126.41	Professional		$10.54	$14.44	$126.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $18.89 / $18.89	Professional		$18.89	$18.89	$18.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $18.89 / $18.89	Professional		$15.09	$18.89	$18.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $10.97 / $16.20	Professional		$7.38	$10.97	$16.20