Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $54.59 / $781.67	Facility		$1.80	$54.59	$781.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.80 / $133.44	Professional		$1.75	$1.80	$133.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Facility		$2.19	$2.19	$2.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.62 / $3.15	Professional		$1.75	$2.62	$3.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $2.08 / $3.21	Facility		$1.40	$2.08	$3.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.75 / $4.05	Professional		$1.40	$1.75	$4.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $3.35 / $6.96	Facility		$1.75	$3.35	$6.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.11 / $3.83	Professional		$1.75	$2.11	$3.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $1.82 / $153.41	Facility		$1.40	$1.82	$153.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.50 / $88.72	Professional		$2.10	$3.50	$88.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $1.45 / $100.00	Facility		$1.40	$1.45	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.82 / $535.45	Professional		$1.40	$1.82	$535.45
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 $1.40 / $1.82 / $153.41	Facility		$1.40	$1.82	$153.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.50 / $88.72	Professional		$2.10	$3.50	$88.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $4.48 / $6.60	Professional		$1.75	$4.48	$6.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $3,832.60	Facility		$1.75	$1.75	$3,832.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $6.13 / $535.45	Professional		$1.75	$6.13	$535.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $2.46 / $4.53	Professional		$2.46	$2.46	$4.53
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.80 / $32.00	Professional		$1.75	$1.80	$32.00