Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $7.80 / $22.71	Facility		$7.80	$7.80	$22.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.80 / $7.80	Professional		$7.57	$7.80	$7.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $16.28 / $16.88	Facility		$14.00	$16.28	$16.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $10.98	Professional		$7.57	$7.57	$10.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $10.36 / $12.11	Facility		$10.36	$10.36	$12.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $7.57 / $18.55	Facility		$6.77	$7.57	$18.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.73 / $12.13	Professional		$7.57	$7.73	$12.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $7.57 / $16.39	Facility		$7.57	$7.57	$16.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.46 / $7.57 / $16.39	Facility		$7.46	$7.57	$16.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $9.84	Professional		$7.57	$7.57	$9.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $16.03 / $85.00	Professional		$6.57	$16.03	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $7.57 / $16.39	Facility		$7.57	$7.57	$16.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $14.33 / $25.30	Professional		$7.57	$14.33	$25.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $6.57 / $90.00	Facility		$6.57	$6.57	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $6.77	Professional		$6.77	$6.77	$6.77
Security Health Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $7.88 / $7.88	Facility		$7.88	$7.88	$7.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $10.63 / $10.63	Professional		$10.63	$10.63	$10.63
United Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $11.36	Professional		$7.57	$7.57	$11.36