Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $12.72 / $5,597.40	Facility		$4.37	$12.72	$5,597.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.37 / $1,584.03	Professional		$4.24	$4.37	$1,584.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $7.84 / $9.46	Facility		$5.30	$7.84	$9.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $5.38	Professional		$4.24	$4.24	$5.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $5.80 / $6.78	Facility		$5.80	$5.80	$6.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $10.01 / $14.30	Facility		$4.24	$10.01	$14.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $6.17 / $7.01	Professional		$4.24	$6.17	$7.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $4.24 / $4.24	Facility		$2.25	$4.24	$4.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $8.48 / $8.48	Professional		$1.34	$8.48	$8.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $4.24 / $8.02	Facility		$2.25	$4.24	$8.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $8.48	Professional		$4.24	$4.24	$8.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $65.00 / $85.00	Professional		$4.12	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $4.24 / $4.24	Facility		$2.25	$4.24	$4.24
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $8.48 / $8.48	Professional		$1.34	$8.48	$8.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $5.74 / $13.00	Professional		$4.24	$5.74	$13.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $100.00	Facility		$4.24	$4.24	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $4.24	Professional		$4.24	$4.24	$4.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $5.95 / $6.13	Professional		$4.05	$5.95	$6.13
United Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $4.24	Facility		$4.24	$4.24	$4.24
United Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $5.51	Professional		$4.24	$4.24	$5.51