Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $3.18 / $3.66	Facility		$2.39	$3.18	$3.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.87 / $6.22	Professional		$2.79	$2.87	$6.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $5.16 / $6.22	Facility		$3.49	$5.16	$6.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $3.76	Professional		$2.79	$2.79	$3.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $2.79 / $5.11	Facility		$1.59	$2.79	$5.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $2.79 / $6.47	Professional		$1.59	$2.79	$6.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $3.48 / $4.40	Facility		$2.12	$3.48	$4.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.19 / $3.85	Professional		$2.63	$3.19	$3.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $2.87 / $70.83	Facility		$1.59	$2.87	$70.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $5.58 / $24.05	Professional		$2.39	$5.58	$24.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $1.64 / $50.05	Facility		$1.59	$1.64	$50.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.77 / $1,837.68	Professional		$1.59	$1.77	$1,837.68
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 $1.59 / $2.87 / $85.33	Facility		$1.59	$2.87	$85.33
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $5.58 / $24.05	Professional		$2.39	$5.58	$24.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $3.78 / $7.95	Professional		$2.79	$3.78	$7.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $85.00 / $224.85	Facility		$2.79	$85.00	$224.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $44.97 / $1,837.68	Professional		$2.79	$44.97	$1,837.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $3.92 / $72.15	Professional		$3.92	$3.92	$72.15
United Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.93 / $3.53	Professional		$2.79	$2.93	$3.53