Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Facility		$10.58	$10.58	$10.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $26.46 / $51.00	Professional		$10.58	$26.46	$51.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.23 / $30.08	Facility		$18.23	$18.23	$30.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $18.23 / $20.78	Professional		$16.95	$18.23	$20.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $39.01 / $39.01	Facility		$18.23	$39.01	$39.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $56.86 / $75.58	Facility		$48.66	$56.86	$75.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $26.25 / $34.50	Professional		$7.44	$26.25	$34.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $15.27 / $36.71	Facility		$10.58	$15.27	$36.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $18.98	Professional		$18.23	$18.23	$18.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $15.27 / $36.71	Facility		$10.58	$15.27	$36.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $10.34 / $95.40	Professional		$8.41	$10.34	$95.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $58.40 / $85.00	Professional		$10.59	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $15.27 / $36.71	Facility		$10.58	$15.27	$36.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $18.98	Professional		$18.23	$18.23	$18.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $27.35 / $48.00	Professional		$18.23	$27.35	$48.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $37.01 / $99.52	Facility		$35.60	$37.01	$99.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $80.09 / $229.68	Professional		$7.44	$80.09	$229.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $18.23	Professional		$18.23	$18.23	$18.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $32.13	Professional		$18.23	$18.23	$32.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $9.10 / $15.16	Professional		$7.39	$9.10	$15.16