Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $73.75 / $229.40	Facility		$3.22	$73.75	$229.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.22 / $67.06	Professional		$3.13	$3.22	$67.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $3.91 / $3.91	Facility		$3.91	$3.91	$3.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $4.55	Professional		$3.13	$3.13	$4.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $4.37 / $5.74	Facility		$2.96	$4.37	$5.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.13 / $7.26	Professional		$2.96	$3.13	$7.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $4.25 / $7.78	Facility		$3.13	$4.25	$7.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.80 / $7.16	Professional		$3.13	$3.80	$7.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $3.22 / $88.20	Facility		$2.96	$3.22	$88.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $6.26 / $92.46	Professional		$4.44	$6.26	$92.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $3.05 / $88.20	Facility		$2.96	$3.05	$88.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.74 / $502.47	Professional		$2.96	$3.74	$502.47
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 $2.96 / $3.22 / $88.20	Facility		$2.96	$3.22	$88.20
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $6.26 / $92.46	Professional		$4.44	$6.26	$92.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $4.61 / $10.22	Professional		$3.13	$4.61	$10.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $3.13 / $2,529.12	Facility		$3.13	$3.13	$2,529.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $10.87 / $502.47	Professional		$3.13	$10.87	$502.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $9.38	Professional		$4.38	$4.38	$9.38
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.32 / $38.36	Professional		$3.13	$3.32	$38.36