Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $10.32 / $10.32	Facility		$10.32	$10.32	$10.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $10.32 / $12.40	Professional		$5.08	$10.32	$12.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $11.46 / $14.04	Professional		$11.46	$11.46	$14.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.36 / $26.36 / $26.36	Facility		$26.36	$26.36	$26.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $44.28	Facility		$33.34	$38.96	$44.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $17.80 / $23.31	Professional		$5.91	$17.80	$23.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.47 / $12.32	Facility		$10.00	$10.47	$12.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $11.15 / $14.88	Facility		$9.01	$11.15	$14.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.15 / $11.48	Professional		$5.13	$6.15	$11.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $10.32 / $12.32	Facility		$9.01	$10.32	$12.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $18.98 / $36.03	Professional		$12.32	$18.98	$36.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $80.00 / $100.00	Facility		$25.01	$80.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $54.14 / $81.33	Professional		$5.91	$54.14	$81.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Professional		$12.32	$12.32	$12.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Professional		$12.32	$12.32	$12.32
United Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.15 / $10.25	Professional		$4.80	$6.15	$10.25