Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $1,894.00 / $17,823.00	Facility		$1,894.00	$1,894.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $7.03 / $10.41	Professional		$6.60	$7.03	$10.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $23.63 / $25.00	Facility		$19.54	$23.63	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $14.48	Professional		$1.20	$1.20	$14.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $7.33 / $9.09	Facility		$1.89	$7.33	$9.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $28.43 / $43.62	Facility		$24.33	$28.43	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $11.72 / $27.03	Professional		$1.58	$11.72	$27.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $7.03 / $10.28	Facility		$4.46	$7.03	$10.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $7.03 / $80.00	Facility		$4.46	$7.03	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $4.13 / $9.09	Professional		$1.80	$4.13	$9.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $7.47 / $65.00	Professional		$1.49	$7.47	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $7.03 / $10.28	Facility		$4.46	$7.03	$10.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $22.09 / $30.80	Professional		$9.89	$22.09	$30.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $80.00	Facility		$17.66	$17.66	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.58 / $1.58	Professional		$1.44	$1.58	$1.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $3.74	Professional		$3.74	$3.74	$3.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $33.06 / $33.06	Professional		$4.68	$33.06	$33.06
United Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $3.71 / $9.09	Professional		$1.80	$3.71	$9.09