Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $52.18 / $104.80	Facility		$7.67	$52.18	$104.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.99 / $8.00	Professional		$2.18	$2.99	$8.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.73 / $2.73	Facility		$2.73	$2.73	$2.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $3.37	Professional		$2.18	$2.18	$3.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $2.98 / $3.49	Facility		$2.98	$2.98	$3.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $11.79 / $16.86	Facility		$2.18	$11.79	$16.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $7.28 / $8.27	Professional		$2.18	$7.28	$8.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $4.55 / $4.99	Facility		$2.18	$4.55	$4.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $4.36 / $6.83	Professional		$1.87	$4.36	$6.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $34.81 / $70.62	Facility		$4.55	$34.81	$70.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.55 / $6.83	Professional		$4.36	$4.55	$6.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $65.00 / $85.00	Professional		$4.63	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $4.55 / $4.99	Facility		$2.18	$4.55	$4.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $4.36 / $6.83	Professional		$1.87	$4.36	$6.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.59 / $14.00	Professional		$2.18	$3.59	$14.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $2.18 / $100.00	Facility		$2.18	$2.18	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.18	Professional		$2.18	$2.18	$2.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.55 / $4.55	Professional		$4.55	$4.55	$4.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $4.69	Professional		$3.06	$3.06	$4.69
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $3.27	Professional		$2.18	$2.18	$3.27