Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Facility		$9.63	$9.63	$9.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $9.63 / $14.20	Professional		$7.96	$9.63	$14.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $16.57 / $27.36	Facility		$16.57	$16.57	$27.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $16.57 / $18.89	Professional		$15.42	$16.57	$18.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $35.47 / $35.47	Facility		$16.57	$35.47	$35.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $68.58	Facility		$44.15	$51.60	$68.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $23.91 / $31.38	Professional		$6.76	$23.91	$31.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $13.67 / $16.70	Facility		$9.52	$13.67	$16.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $13.90 / $16.57	Professional		$13.90	$13.90	$16.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $13.67 / $17.41	Facility		$9.63	$13.67	$17.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $9.38 / $46.84	Professional		$7.65	$9.38	$46.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $58.40 / $85.00	Professional		$9.64	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $13.67 / $16.70	Facility		$9.52	$13.67	$16.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $13.90 / $16.57	Professional		$13.90	$13.90	$16.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $24.87 / $44.00	Professional		$16.57	$24.87	$44.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $33.65 / $90.00	Facility		$32.38	$33.65	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $72.86 / $167.85	Professional		$6.76	$72.86	$167.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $16.57 / $16.57	Professional		$16.57	$16.57	$16.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $16.57 / $16.57	Professional		$16.57	$16.57	$16.57
United Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $8.27 / $13.79	Professional		$6.97	$8.27	$13.79