Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $99.74 / $558.52	Facility		$3.17	$99.74	$558.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.72 / $113.94	Professional		$2.47	$2.72	$113.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.09 / $3.09	Facility		$3.09	$3.09	$3.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $3.70 / $4.44	Professional		$2.47	$3.70	$4.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $3.13 / $4.53	Facility		$2.11	$3.13	$4.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.47 / $5.73	Professional		$2.11	$2.47	$5.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $4.58 / $9.52	Facility		$2.47	$4.58	$9.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $3.70 / $7.06	Professional		$2.47	$3.70	$7.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.54 / $115.68	Facility		$2.11	$2.54	$115.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $4.94 / $5.08	Professional		$3.17	$4.94	$5.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.20 / $25.45	Facility		$2.11	$2.20	$25.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $3.10 / $535.00	Professional		$2.11	$3.10	$535.00
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 $2.11 / $2.54 / $115.68	Facility		$2.11	$2.54	$115.68
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $4.94 / $5.08	Professional		$3.17	$4.94	$5.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $4.30 / $11.00	Professional		$2.47	$4.30	$11.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $2.47 / $2,976.31	Facility		$2.47	$2.47	$2,976.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $9.27 / $535.00	Professional		$2.47	$9.27	$535.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $5.15	Professional		$3.47	$3.47	$5.15
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $36.11	Professional		$2.47	$2.47	$36.11