Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.94 / $3.70 / $4.26	Facility		$1.94	$3.70	$4.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.94 / $5.14	Professional		$1.88	$1.94	$5.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $3.48 / $4.19	Facility		$2.35	$3.48	$4.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $2.52	Professional		$1.88	$1.88	$2.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $3.38 / $3.44	Facility		$3.01	$3.38	$3.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $7.24 / $15.05	Facility		$1.88	$7.24	$15.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.88 / $18.05	Professional		$1.35	$1.88	$18.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.94 / $27.82	Facility		$1.85	$1.94	$27.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.76 / $3.76	Professional		$2.78	$3.76	$3.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.91 / $27.82	Facility		$1.85	$1.91	$27.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.06 / $2,345.12	Professional		$1.85	$2.06	$2,345.12
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 $1.85 / $1.94 / $27.82	Facility		$1.85	$1.94	$27.82
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.76 / $3.76	Professional		$2.78	$3.76	$3.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.44 / $6.81	Professional		$1.88	$2.44	$6.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $85.00 / $123.45	Facility		$1.88	$85.00	$123.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $24.69 / $2,345.12	Professional		$1.88	$24.69	$2,345.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $47.88	Professional		$2.64	$2.64	$47.88
United Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $1.24 / $2.67	Facility		$1.24	$1.24	$2.67
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $2.37	Professional		$1.88	$1.88	$2.37