Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.15 / $10.15 / $10.15	Facility		$10.15	$10.15	$10.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.15 / $16.98	Professional		$8.42	$10.15	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $22.14 / $36.64	Facility		$20.13	$22.14	$36.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $18.72 / $24.75	Professional		$18.72	$18.72	$24.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $43.08 / $43.08	Facility		$14.48	$43.08	$43.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $44.09 / $83.97	Facility		$11.23	$44.09	$83.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $29.06 / $38.10	Professional		$9.55	$29.06	$38.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $15.23 / $23.15	Facility		$5.79	$15.23	$23.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $19.61 / $24.16	Professional		$11.53	$19.61	$24.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $20.13 / $86.39	Facility		$10.02	$20.13	$86.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.49 / $21.92	Professional		$9.24	$13.49	$21.92
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 $5.79 / $15.23 / $23.15	Facility		$5.79	$15.23	$23.15
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $19.61 / $24.16	Professional		$11.53	$19.61	$24.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $30.99 / $54.20	Professional		$20.13	$30.99	$54.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $39.32 / $86.39	Facility		$11.23	$39.32	$86.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.23 / $101.49	Professional		$9.55	$11.23	$101.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $20.13 / $20.13	Professional		$20.13	$20.13	$20.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $20.13 / $20.13	Professional		$20.13	$20.13	$20.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $12.83 / $17.85	Professional		$7.02	$12.83	$17.85