Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $5.28 / $5.28	Facility		$5.28	$5.28	$5.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $5.94 / $16.80	Professional		$5.11	$5.94	$16.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $9.10 / $15.02	Facility		$9.10	$9.10	$15.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $9.10 / $10.37	Professional		$8.46	$9.10	$10.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $19.47 / $19.47	Facility		$9.10	$19.47	$19.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $28.43 / $37.79	Facility		$24.33	$28.43	$37.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $13.13 / $17.23	Professional		$3.72	$13.13	$17.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $7.49 / $9.56	Facility		$5.22	$7.49	$9.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $9.10 / $12.30	Professional		$9.10	$9.10	$12.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $7.49 / $14.54	Facility		$5.28	$7.49	$14.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.99 / $12.30	Professional		$4.19	$4.99	$12.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $65.00 / $85.00	Professional		$5.27	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $7.49 / $9.56	Facility		$5.22	$7.49	$9.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $9.10 / $12.30	Professional		$9.10	$9.10	$12.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $13.65 / $23.00	Professional		$9.10	$13.65	$23.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $18.47 / $90.00	Facility		$17.78	$18.47	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $40.01 / $148.41	Professional		$3.72	$40.01	$148.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $9.10 / $9.10	Professional		$9.10	$9.10	$9.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $9.10 / $20.49	Professional		$9.10	$9.10	$20.49
United Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $4.54 / $7.56	Professional		$3.79	$4.54	$7.56