Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.36 / $42.50 / $91.13	Facility		$2.36	$42.50	$91.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.36 / $26.67	Professional		$2.29	$2.36	$26.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $2.86 / $2.86	Facility		$2.86	$2.86	$2.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $3.09	Professional		$2.29	$2.29	$3.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.89 / $4.19	Facility		$1.95	$2.89	$4.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.29 / $5.31	Professional		$1.95	$2.29	$5.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $3.46 / $6.66	Facility		$2.29	$3.46	$6.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.25 / $7.94	Professional		$2.29	$3.25	$7.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $2.31 / $11.49	Facility		$1.69	$2.31	$11.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $4.58 / $4.58	Professional		$1.87	$4.58	$4.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $1.95 / $11.49	Facility		$1.81	$1.95	$11.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.54 / $146.66	Professional		$1.95	$2.54	$146.66
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 $1.84 / $2.29 / $11.49	Facility		$1.84	$2.29	$11.49
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $4.58 / $4.58	Professional		$1.87	$4.58	$4.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.56 / $8.00	Professional		$2.29	$3.56	$8.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $486.39	Facility		$2.29	$2.29	$486.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.95 / $146.66	Professional		$2.29	$4.95	$146.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.22 / $3.71	Professional		$2.31	$3.22	$3.71
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $11.44	Professional		$2.29	$2.29	$11.44