Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $11.43 / $11.43	Facility		$11.43	$11.43	$11.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $11.43 / $14.98	Professional		$7.81	$11.43	$14.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $19.68 / $32.47	Facility		$19.68	$19.68	$32.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $19.68 / $22.43	Professional		$18.30	$19.68	$22.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $42.12 / $42.12	Facility		$19.68	$42.12	$42.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.17 / $62.13 / $82.57	Facility		$53.17	$62.13	$82.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $28.59 / $37.25	Professional		$8.02	$28.59	$37.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $16.00 / $19.68	Facility		$11.29	$16.00	$19.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.10 / $19.68	Professional		$13.10	$13.10	$19.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $16.21 / $20.66	Facility		$11.29	$16.21	$20.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $11.13 / $43.81	Professional		$9.08	$11.13	$43.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $58.40 / $85.00	Professional		$11.41	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $16.21 / $19.68	Facility		$11.29	$16.21	$19.68
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.10 / $19.68	Professional		$13.10	$13.10	$19.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $29.52 / $52.00	Professional		$19.68	$29.52	$52.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.44 / $39.95 / $92.10	Facility		$38.44	$39.95	$92.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $86.49 / $157.25	Professional		$8.02	$86.49	$157.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $19.68 / $19.68	Professional		$19.68	$19.68	$19.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $19.68 / $21.97	Professional		$19.68	$19.68	$21.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $9.82 / $16.36	Professional		$8.27	$9.82	$16.36