Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $8.11 / $8.11	Facility		$8.11	$8.11	$8.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $8.11 / $8.66	Professional		$7.87	$8.11	$8.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $12.38	Professional		$7.87	$7.87	$12.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $12.59 / $19.36	Facility		$10.77	$12.59	$19.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $17.75 / $25.16	Facility		$9.69	$17.75	$25.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $9.33 / $22.49	Professional		$7.69	$9.33	$22.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.12 / $7.95 / $12.41	Facility		$7.12	$7.95	$12.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $7.32 / $13.19	Facility		$6.69	$7.32	$13.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $7.12 / $14.95	Professional		$7.12	$7.12	$14.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.12 / $7.87 / $12.41	Facility		$7.12	$7.87	$12.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $9.02 / $23.09	Professional		$7.87	$9.02	$23.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $85.00 / $100.00	Facility		$65.00	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $10.38 / $32.39	Professional		$7.87	$10.38	$32.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $11.05 / $11.05	Professional		$8.01	$11.05	$11.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $9.92	Professional		$7.87	$7.87	$9.92