Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $7.50 / $7.50	Facility		$7.50	$7.50	$7.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $7.50 / $12.45	Professional		$5.56	$7.50	$12.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $16.36 / $27.06	Facility		$14.87	$16.36	$27.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $13.83 / $18.29	Professional		$13.83	$13.83	$18.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $31.82 / $31.82	Facility		$10.70	$31.82	$31.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $30.95 / $61.58	Facility		$9.63	$30.95	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $21.56 / $28.14	Professional		$7.03	$21.56	$28.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $11.25 / $17.10	Facility		$4.30	$11.25	$17.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $14.87 / $17.84	Professional		$8.52	$14.87	$17.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $14.87 / $80.00	Facility		$7.44	$14.87	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.94 / $16.64	Professional		$6.75	$9.94	$16.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $55.00 / $85.00	Professional		$7.10	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $11.25 / $17.10	Facility		$4.30	$11.25	$17.10
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $14.87 / $17.84	Professional		$8.52	$14.87	$17.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $22.90 / $40.15	Professional		$14.87	$22.90	$40.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $29.04 / $80.00	Facility		$9.63	$29.04	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $9.63 / $85.49	Professional		$7.03	$9.63	$85.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $14.87 / $14.87	Professional		$14.87	$14.87	$14.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $14.87 / $14.87	Professional		$14.87	$14.87	$14.87
United Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $9.90 / $14.87	Professional		$5.93	$9.90	$14.87