Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $57.66 / $313.22	Facility		$2.58	$57.66	$313.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.19 / $97.36	Professional		$1.99	$2.19	$97.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Facility		$2.49	$2.49	$2.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.98 / $3.58	Professional		$1.99	$2.98	$3.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $2.43 / $3.65	Facility		$1.72	$2.43	$3.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.99 / $4.61	Professional		$1.72	$1.99	$4.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $3.20 / $6.66	Facility		$1.99	$3.20	$6.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.72 / $6.30	Professional		$1.99	$2.72	$6.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $2.00 / $5.40	Facility		$1.72	$2.00	$5.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $3.98 / $3.98	Professional		$1.34	$3.98	$3.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $1.77 / $10.63	Facility		$1.72	$1.77	$10.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $2.34 / $60.42	Professional		$1.72	$2.34	$60.42
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 $1.72 / $2.00 / $5.40	Facility		$1.72	$2.00	$5.40
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $3.98 / $3.98	Professional		$1.34	$3.98	$3.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.99 / $7.00	Professional		$1.99	$2.99	$7.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $1.99 / $100.00	Facility		$1.99	$1.99	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $5.24 / $60.42	Professional		$1.99	$5.24	$60.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.72 / $1.72	Professional		$1.72	$1.72	$1.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.79 / $2.95	Professional		$2.02	$2.79	$2.95
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.09 / $2.52	Professional		$1.99	$2.09	$2.52