Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $6.48 / $91.05	Facility		$3.28	$6.48	$91.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.28 / $9.72	Professional		$3.19	$3.28	$9.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $3.99 / $3.99	Facility		$3.99	$3.99	$3.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.19 / $4.78	Professional		$3.19	$3.19	$4.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.72 / $5.09	Facility		$4.37	$4.72	$5.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $5.99 / $8.56	Facility		$3.19	$5.99	$8.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $12.42 / $14.11	Professional		$2.54	$12.42	$14.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $3.24 / $7.14	Facility		$3.19	$3.24	$7.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $6.38 / $6.38	Professional		$1.87	$6.38	$6.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $4.16 / $100.00	Facility		$3.24	$4.16	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $3.24 / $4.44	Professional		$2.12	$3.24	$4.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $65.00 / $90.00	Professional		$2.49	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $3.24 / $7.14	Facility		$3.19	$3.24	$7.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $6.38 / $6.38	Professional		$1.87	$6.38	$6.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.46 / $7.95	Professional		$3.19	$3.46	$7.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.56 / $85.00 / $100.00	Facility		$7.56	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.19 / $5.21	Professional		$3.19	$3.19	$5.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $4.48 / $13.68	Professional		$4.48	$4.48	$13.68
United Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $3.19 / $3.84	Professional		$2.87	$3.19	$3.84