Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $3.88 / $4.57	Facility		$2.04	$3.88	$4.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.15 / $2,047.28	Professional		$2.06	$2.15	$2,047.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $3.83 / $4.62	Facility		$2.59	$3.83	$4.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.62	Professional		$2.06	$2.06	$2.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.83 / $2.83 / $3.31	Facility		$2.83	$2.83	$3.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $4.74 / $6.77	Facility		$2.06	$4.74	$6.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.87 / $3.26	Professional		$2.06	$2.87	$3.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.99 / $4.28	Facility		$1.32	$1.99	$4.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $4.13 / $4.13	Professional		$2.99	$4.13	$4.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.99 / $4.28	Facility		$1.32	$1.99	$4.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $4.13	Professional		$1.99	$1.99	$4.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $55.00 / $85.00	Professional		$2.02	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.99 / $4.28	Facility		$1.32	$1.99	$4.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $4.13 / $4.13	Professional		$2.99	$4.13	$4.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.58 / $6.60	Professional		$2.06	$2.58	$6.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Professional		$2.06	$2.06	$2.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.91 / $2.91	Professional		$1.70	$2.91	$2.91
United Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Facility		$2.06	$2.06	$2.06
United Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $3.31	Professional		$2.06	$2.06	$3.31