Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $60.00 / $215.63	Facility		$4.08	$60.00	$215.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.11 / $63.67	Professional		$3.02	$3.11	$63.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $3.78 / $3.78	Facility		$3.78	$3.78	$3.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.53 / $5.00	Professional		$3.02	$4.53	$5.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $3.89 / $5.54	Facility		$2.72	$3.89	$5.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.02 / $7.00	Professional		$2.72	$3.02	$7.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $4.58 / $9.22	Facility		$3.02	$4.58	$9.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.03 / $6.44	Professional		$3.02	$4.03	$6.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $3.05 / $10.52	Facility		$2.65	$3.05	$10.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $6.04 / $6.04	Professional		$4.08	$6.04	$6.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $2.75 / $11.94	Facility		$2.72	$2.75	$11.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.54 / $171.39	Professional		$2.72	$3.54	$171.39
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 / $3.05 / $22.05	Facility		$2.72	$3.05	$22.05
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $6.04 / $6.04	Professional		$4.08	$6.04	$6.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.70 / $10.00	Professional		$3.02	$4.70	$10.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $85.00 / $785.34	Facility		$3.02	$85.00	$785.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $7.19 / $171.39	Professional		$3.02	$7.19	$171.39
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 $3.45 / $4.24 / $4.94	Professional		$3.45	$4.24	$4.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.17 / $5.32	Professional		$3.02	$3.17	$5.32