Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $129.59 / $889.78	Facility		$0.56	$129.59	$889.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.65 / $318.62	Professional		$0.63	$0.65	$318.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.79 / $0.79	Facility		$0.79	$0.79	$0.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.85	Professional		$0.63	$0.63	$0.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.63 / $1.15	Facility		$0.38	$0.63	$1.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.63 / $1.46	Professional		$0.38	$0.63	$1.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $1.08 / $2.25	Facility		$0.60	$1.08	$2.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.80 / $1.95	Professional		$0.60	$0.80	$1.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.64 / $2.45	Facility		$0.38	$0.64	$2.45
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $1.26 / $1.26	Professional		$0.56	$1.26	$1.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.39 / $2.70	Facility		$0.38	$0.39	$2.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.49 / $1,046.63	Professional		$0.38	$0.49	$1,046.63
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 $0.38 / $0.64 / $5.00	Facility		$0.38	$0.64	$5.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $1.26 / $1.26	Professional		$0.56	$1.26	$1.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.86 / $2.27	Professional		$0.63	$0.86	$2.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $0.60 / $100.00	Facility		$0.60	$0.60	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $2.04 / $1,046.63	Professional		$0.60	$2.04	$1,046.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $2.13	Professional		$0.88	$0.88	$2.13
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.67 / $5.30	Professional		$0.63	$0.67	$5.30