Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $3.18 / $1,459.92	Facility		$1.25	$3.18	$1,459.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.25 / $2.39	Professional		$1.22	$1.25	$2.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $2.25 / $2.72	Facility		$1.53	$2.25	$2.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.64	Professional		$1.22	$1.22	$1.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.67 / $2.39	Facility		$1.22	$1.67	$2.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.40 / $2.83	Professional		$1.22	$1.40	$2.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $2.17 / $4.51	Facility		$1.22	$2.17	$4.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $2.12 / $3.00	Professional		$1.22	$2.12	$3.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.34 / $30.75	Facility		$1.22	$1.34	$30.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.44 / $18.98	Professional		$2.39	$2.44	$18.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $1.64 / $11.59	Facility		$1.59	$1.64	$11.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.77 / $1,917.60	Professional		$1.59	$1.77	$1,917.60
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 $1.22 / $1.34 / $30.75	Facility		$1.22	$1.34	$30.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.44 / $18.98	Professional		$2.39	$2.44	$18.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $2.74 / $7.95	Professional		$1.22	$2.74	$7.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.22 / $100.00	Facility		$1.22	$1.22	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $7.65 / $1,917.60	Professional		$1.22	$7.65	$1,917.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $19.98	Professional		$1.71	$1.71	$19.98
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.54	Professional		$1.22	$1.22	$1.54