Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $6.58 / $76.63	Facility		$3.04	$6.58	$76.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.31 / $5.00	Professional		$2.95	$3.31	$5.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.69 / $3.69 / $3.69	Facility		$3.69	$3.69	$3.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $3.74	Professional		$2.95	$2.95	$3.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $4.04 / $4.72	Facility		$4.04	$4.04	$4.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $8.03 / $11.49	Facility		$2.95	$8.03	$11.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.60 / $6.36	Professional		$2.95	$5.60	$6.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $2.87 / $6.41	Facility		$1.99	$2.87	$6.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $5.90 / $5.90	Professional		$1.07	$5.90	$5.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $24.23 / $38.72	Facility		$2.87	$24.23	$38.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $3.19 / $5.90	Professional		$2.87	$3.19	$5.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $65.00 / $85.00	Professional		$3.31	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $2.87 / $6.41	Facility		$1.99	$2.87	$6.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $5.90 / $5.90	Professional		$1.07	$5.90	$5.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $4.36 / $11.00	Professional		$2.95	$4.36	$11.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $100.00	Facility		$2.95	$2.95	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Professional		$2.95	$2.95	$2.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $4.13 / $4.79	Professional		$2.57	$4.13	$4.79
United Facility/Professional Facility Modifier Low / Median / High Price $7.12 / $7.12 / $7.75	Facility		$7.12	$7.12	$7.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.28 / $4.34	Professional		$2.95	$3.28	$4.34