Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $5.58 / $5.58	Facility		$5.58	$5.58	$5.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.58 / $9.27	Professional		$4.59	$5.58	$9.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $12.16 / $20.11	Facility		$11.05	$12.16	$20.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $10.28 / $13.59	Professional		$9.94	$10.28	$13.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $23.65 / $23.65	Facility		$7.95	$23.65	$23.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $22.51 / $46.19	Facility		$7.14	$22.51	$46.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $18.39 / $20.91	Professional		$5.21	$18.39	$20.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.56 / $8.36 / $12.71	Facility		$3.56	$8.36	$12.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $11.05 / $13.26	Professional		$6.32	$11.05	$13.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $11.05 / $80.00	Facility		$5.58	$11.05	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $7.38 / $12.47	Professional		$5.14	$7.38	$12.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $55.00 / $85.00	Professional		$6.10	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.56 / $8.53 / $12.71	Facility		$3.56	$8.53	$12.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $11.05 / $13.26	Professional		$6.32	$11.05	$13.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $17.01 / $33.11	Professional		$11.05	$17.01	$33.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $21.58 / $80.00	Facility		$7.14	$21.58	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $7.14 / $73.36	Professional		$5.21	$7.14	$73.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
United Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $8.30 / $8.49	Facility		$7.28	$8.30	$8.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $7.35 / $9.80	Professional		$4.40	$7.35	$9.80