Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.40 / $9.40 / $9.40	Facility		$9.40	$9.40	$9.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $9.71 / $23.73	Professional		$9.09	$9.71	$23.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $16.19 / $26.71	Facility		$16.19	$16.19	$26.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $16.19 / $18.45	Professional		$15.06	$16.19	$18.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $34.65 / $34.65	Facility		$16.19	$34.65	$34.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $50.55 / $67.18	Facility		$43.25	$50.55	$67.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $23.44 / $30.64	Professional		$6.60	$23.44	$30.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.28 / $13.34 / $16.92	Facility		$9.28	$13.34	$16.92
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $17.89	Professional		$16.19	$16.19	$17.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.40 / $13.34 / $21.54	Facility		$9.40	$13.34	$21.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $9.15 / $60.94	Professional		$7.47	$9.15	$60.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $58.40 / $85.00	Professional		$9.40	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.28 / $13.34 / $16.92	Facility		$9.28	$13.34	$16.92
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $17.89	Professional		$16.19	$16.19	$17.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $24.29 / $43.00	Professional		$16.19	$24.29	$43.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $32.86 / $93.85	Facility		$31.62	$32.86	$93.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $71.15 / $217.33	Professional		$6.60	$71.15	$217.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $16.19	Professional		$16.19	$16.19	$16.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $16.19	Professional		$16.19	$16.19	$16.19
United Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $8.08 / $13.46	Professional		$5.72	$8.08	$13.46