Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $2.98 / $4,020.16	Facility		$1.53	$2.98	$4,020.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.54 / $3.17	Professional		$1.49	$1.54	$3.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.76 / $3.32	Facility		$1.86	$2.76	$3.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.49 / $1.89	Professional		$1.49	$1.49	$1.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.38	Facility		$2.04	$2.04	$2.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $3.40 / $4.84	Facility		$1.49	$3.40	$4.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $2.10 / $2.39	Professional		$1.49	$2.10	$2.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $1.49 / $1.49	Facility		$0.83	$1.49	$1.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $2.98 / $2.98	Professional		$0.54	$2.98	$2.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $1.49 / $1.49	Facility		$0.83	$1.49	$1.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.49 / $2.98	Professional		$1.49	$1.49	$2.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $65.00 / $85.00	Professional		$1.45	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $1.49 / $1.49	Facility		$0.83	$1.49	$1.49
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $2.98 / $2.98	Professional		$0.54	$2.98	$2.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.62 / $4.00	Professional		$1.49	$1.62	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $1.49 / $100.00	Facility		$1.49	$1.49	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.49 / $1.49	Professional		$1.49	$1.49	$1.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.09 / $2.13	Professional		$1.41	$2.09	$2.13
United Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.45 / $3.39	Facility		$1.45	$1.45	$3.39
United Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.49 / $1.98	Professional		$1.49	$1.49	$1.98