Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $2.82 / $678.59	Facility		$1.51	$2.82	$678.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.48 / $1.83	Professional		$1.47	$1.48	$1.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $1.84 / $1.84	Facility		$1.84	$1.84	$1.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.47 / $1.83	Professional		$1.47	$1.47	$1.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.47 / $2.21	Facility		$1.41	$1.47	$2.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.47 / $2.27	Professional		$1.41	$1.47	$2.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $1.85 / $5.12	Facility		$1.47	$1.85	$5.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.52 / $2.88	Professional		$1.35	$1.52	$2.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.51 / $3.04	Facility		$1.41	$1.51	$3.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $2.94 / $2.94	Professional		$2.94	$2.94	$2.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.43 / $3.42	Facility		$1.41	$1.43	$3.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $153.90	Professional		$1.41	$1.41	$153.90
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 $1.41 / $1.49 / $3.04	Facility		$1.41	$1.49	$3.04
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $2.94 / $2.94	Professional		$2.94	$2.94	$2.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $2.27 / $4.00	Professional		$1.46	$2.27	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $65.00 / $85.00	Facility		$1.47	$65.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $2.94 / $153.90	Professional		$1.47	$2.94	$153.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.06 / $3.00	Professional		$1.90	$2.06	$3.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.47 / $1.85	Professional		$1.47	$1.47	$1.85