Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Facility		$7.08	$7.08	$7.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.77 / $29.00	Professional		$7.08	$8.77	$29.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $12.19 / $20.11	Facility		$12.19	$12.19	$20.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $12.19 / $13.89	Professional		$11.34	$12.19	$13.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $26.09 / $26.09	Facility		$12.19	$26.09	$26.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $37.90 / $50.38	Facility		$32.44	$37.90	$50.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $17.80 / $23.06	Professional		$4.97	$17.80	$23.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.99 / $10.03 / $12.80	Facility		$6.99	$10.03	$12.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.19 / $14.70	Professional		$12.19	$12.19	$14.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $10.03 / $17.77	Facility		$7.08	$10.03	$17.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.92 / $47.50	Professional		$5.62	$6.92	$47.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $58.40 / $85.00	Professional		$7.07	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.99 / $10.03 / $12.80	Facility		$6.99	$10.03	$12.80
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.19 / $14.70	Professional		$12.19	$12.19	$14.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $18.29 / $31.00	Professional		$12.19	$18.29	$31.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $24.75 / $90.00	Facility		$23.80	$24.75	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $53.55 / $178.44	Professional		$4.97	$53.55	$178.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.19 / $12.19	Professional		$12.19	$12.19	$12.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.19 / $24.93	Professional		$12.19	$12.19	$24.93
United Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $6.08 / $10.13	Professional		$4.30	$6.08	$10.13