Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $8.42 / $8.42	Facility		$8.42	$8.42	$8.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $8.42 / $27.20	Professional		$6.37	$8.42	$27.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $14.50 / $23.93	Facility		$14.50	$14.50	$23.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.50 / $16.53	Professional		$13.49	$14.50	$16.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $31.03 / $31.03	Facility		$14.50	$31.03	$31.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $45.28 / $60.18	Facility		$38.75	$45.28	$60.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $21.09 / $27.44	Professional		$5.92	$21.09	$27.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $11.95 / $31.75	Facility		$8.32	$11.95	$31.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $10.69 / $14.50	Professional		$10.69	$10.69	$14.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $11.95 / $31.75	Facility		$8.32	$11.95	$31.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $8.19 / $35.76	Professional		$6.69	$8.19	$35.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $65.00 / $85.00	Professional		$8.42	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $11.95 / $31.75	Facility		$8.32	$11.95	$31.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $10.69 / $14.50	Professional		$10.69	$10.69	$14.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $21.75 / $38.00	Professional		$14.50	$21.75	$38.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $29.44 / $90.00	Facility		$28.32	$29.44	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $63.72 / $127.21	Professional		$5.92	$63.72	$127.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $14.50 / $14.50	Professional		$14.50	$14.50	$14.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $14.50 / $14.50	Professional		$14.50	$14.50	$14.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $7.24 / $13.51	Professional		$6.15	$7.24	$13.51