Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $6.60 / $6.60	Facility		$6.60	$6.60	$6.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.82 / $19.20	Professional		$6.38	$6.82	$19.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $11.37 / $18.76	Facility		$11.37	$11.37	$18.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $11.37 / $12.96	Professional		$10.57	$11.37	$12.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $24.33 / $24.33	Facility		$11.37	$24.33	$24.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $35.79 / $47.59	Facility		$30.64	$35.79	$47.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $16.41 / $21.51	Professional		$4.63	$16.41	$21.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $9.52 / $22.82	Facility		$6.60	$9.52	$22.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $11.37 / $11.49	Professional		$11.37	$11.37	$11.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $9.52 / $22.82	Facility		$6.60	$9.52	$22.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.42 / $38.28	Professional		$5.25	$6.42	$38.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $65.00 / $85.00	Professional		$6.61	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $9.52 / $22.82	Facility		$6.60	$9.52	$22.82
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $11.37 / $11.49	Professional		$11.37	$11.37	$11.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $17.05 / $30.00	Professional		$11.37	$17.05	$30.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $23.08 / $90.00	Facility		$22.20	$23.08	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $49.95 / $137.82	Professional		$4.63	$49.95	$137.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $11.37 / $11.37	Professional		$11.37	$11.37	$11.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $11.37 / $19.20	Professional		$11.37	$11.37	$19.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $5.67 / $9.44	Professional		$4.73	$5.67	$9.44