Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.78 / $6.78 / $6.78	Facility		$6.78	$6.78	$6.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $6.78 / $33.65	Professional		$6.44	$6.78	$33.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $11.67 / $19.26	Facility		$11.67	$11.67	$19.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $11.67 / $13.30	Professional		$10.85	$11.67	$13.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $24.97 / $24.97	Facility		$11.67	$24.97	$24.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $36.86 / $48.98	Facility		$31.54	$36.86	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $16.88 / $22.09	Professional		$4.76	$16.88	$22.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $9.61 / $12.20	Facility		$6.69	$9.61	$12.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.67	Professional		$11.22	$11.22	$11.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.78 / $9.61 / $13.62	Facility		$6.78	$9.61	$13.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $6.60 / $38.28	Professional		$5.38	$6.60	$38.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $65.00 / $85.00	Professional		$6.78	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $9.61 / $12.20	Facility		$6.69	$9.61	$12.20
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.67	Professional		$11.22	$11.22	$11.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $17.51 / $31.00	Professional		$11.67	$17.51	$31.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $23.69 / $90.00	Facility		$22.80	$23.69	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $51.30 / $137.82	Professional		$4.76	$51.30	$137.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $11.67 / $11.67	Professional		$11.67	$11.67	$11.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $11.67 / $11.67	Professional		$11.67	$11.67	$11.67
United Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $7.43 / $24.40	Professional		$4.95	$7.43	$24.40