Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.28 / $6.28 / $6.28	Facility		$6.28	$6.28	$6.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $6.71 / $30.78	Professional		$6.07	$6.71	$30.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $10.81 / $17.84	Facility		$10.81	$10.81	$17.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $10.81 / $12.32	Professional		$10.05	$10.81	$12.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $23.13 / $23.13	Facility		$10.81	$23.13	$23.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $44.79	Facility		$28.84	$33.70	$44.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $15.47 / $20.46	Professional		$4.41	$15.47	$20.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.28 / $9.06 / $21.83	Facility		$6.28	$9.06	$21.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $10.81 / $13.90	Professional		$10.81	$10.81	$13.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.28 / $9.06 / $21.83	Facility		$6.28	$9.06	$21.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $6.11 / $46.84	Professional		$4.99	$6.11	$46.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $58.40 / $85.00	Professional		$6.27	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.28 / $9.06 / $21.83	Facility		$6.28	$9.06	$21.83
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $10.81 / $13.90	Professional		$10.81	$10.81	$13.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $16.22 / $27.00	Professional		$10.81	$16.22	$27.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $21.94 / $90.00	Facility		$21.12	$21.94	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $47.52 / $167.85	Professional		$4.41	$47.52	$167.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $10.81 / $10.81	Professional		$10.81	$10.81	$10.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $10.81 / $23.26	Professional		$10.81	$10.81	$23.26
United Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $5.39 / $10.07	Professional		$4.54	$5.39	$10.07