Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $35.28 / $157.97	Facility		$3.95	$35.28	$157.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.71 / $8.40	Professional		$1.10	$1.71	$8.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.38 / $1.38	Facility		$1.38	$1.38	$1.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.39	Professional		$1.10	$1.10	$1.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $1.76	Facility		$1.51	$1.51	$1.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $2.23 / $3.19	Facility		$1.10	$2.23	$3.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.52 / $1.73	Professional		$0.89	$1.52	$1.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.96 / $2.13	Facility		$0.66	$0.96	$2.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $2.20 / $2.20	Professional		$0.26	$2.20	$2.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $20.63 / $62.23	Facility		$2.52	$20.63	$62.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $2.20	Professional		$0.96	$0.96	$2.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $65.00 / $85.00	Professional		$0.84	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.96 / $2.13	Facility		$0.66	$0.96	$2.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $2.20 / $2.20	Professional		$0.26	$2.20	$2.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.10 / $3.00	Professional		$1.08	$1.10	$3.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $0.96	Professional		$0.96	$0.96	$0.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.54 / $1.54	Professional		$0.94	$1.54	$1.54
United Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.76	Professional		$1.10	$1.10	$1.76