Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $85.88 / $338.49	Facility		$4.08	$85.88	$338.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.81 / $4.65	Professional		$2.73	$2.81	$4.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $3.41 / $3.41	Facility		$3.41	$3.41	$3.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $3.68	Professional		$2.73	$2.73	$3.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $3.74 / $4.09	Facility		$2.72	$3.74	$4.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.73 / $6.32	Professional		$2.72	$2.73	$6.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $6.55 / $11.37	Facility		$2.73	$6.55	$11.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $3.89 / $7.48	Professional		$2.73	$3.89	$7.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $2.81 / $5.84	Facility		$2.72	$2.81	$5.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $5.46 / $5.46	Professional		$3.74	$5.46	$5.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $2.80 / $22.09	Facility		$2.72	$2.80	$22.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.03 / $593.63	Professional		$2.72	$3.03	$593.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $2.81 / $5.84	Facility		$2.72	$2.81	$5.84
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $5.46 / $5.46	Professional		$3.74	$5.46	$5.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $4.24 / $10.22	Professional		$2.72	$4.24	$10.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $11.21 / $593.63	Professional		$2.73	$11.21	$593.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.72 / $2.72	Professional		$2.72	$2.72	$2.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $3.83 / $9.17	Professional		$3.83	$3.83	$9.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.81 / $3.45	Professional		$2.73	$2.81	$3.45