Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $7.64 / $248.73	Facility		$3.55	$7.64	$248.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.55 / $4.74	Professional		$3.45	$3.55	$4.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $4.30 / $4.30	Facility		$4.30	$4.30	$4.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $4.65	Professional		$3.45	$3.45	$4.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $5.00 / $6.32	Facility		$3.45	$5.00	$6.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.82 / $8.00	Professional		$3.45	$3.82	$8.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $5.71 / $11.88	Facility		$3.45	$5.71	$11.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $5.72 / $7.33	Professional		$3.45	$5.72	$7.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $3.79 / $11.67	Facility		$3.45	$3.79	$11.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $6.90 / $6.90	Professional		$4.01	$6.90	$6.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $3.93 / $10.30	Facility		$3.82	$3.93	$10.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $4.97 / $111.13	Professional		$3.82	$4.97	$111.13
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 $3.45 / $3.82 / $12.00	Facility		$3.45	$3.82	$12.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $6.90 / $6.90	Professional		$4.01	$6.90	$6.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $5.36 / $13.00	Professional		$3.45	$5.36	$13.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $3.45 / $339.83	Facility		$3.45	$3.45	$339.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $7.66 / $111.13	Professional		$3.45	$7.66	$111.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $7.39	Professional		$4.84	$4.84	$7.39
United Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.55 / $6.37	Professional		$3.45	$3.55	$6.37