Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $7.46 / $8.59	Facility		$4.49	$7.46	$8.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.49 / $6.41	Professional		$4.36	$4.49	$6.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $8.05 / $9.69	Facility		$5.45	$8.05	$9.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $5.88	Professional		$4.36	$4.36	$5.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $5.54 / $8.00	Facility		$3.73	$5.54	$8.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $4.36 / $10.11	Professional		$3.73	$4.36	$10.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $6.38 / $11.67	Facility		$4.36	$6.38	$11.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.78 / $8.58	Professional		$4.05	$4.78	$8.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $4.49 / $97.74	Facility		$3.73	$4.49	$97.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $8.72 / $32.34	Professional		$5.60	$8.72	$32.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $3.85 / $77.81	Facility		$3.73	$3.85	$77.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $4.15 / $2,120.40	Professional		$3.73	$4.15	$2,120.40
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 $3.73 / $4.49 / $110.14	Facility		$3.73	$4.49	$110.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $8.72 / $32.34	Professional		$5.60	$8.72	$32.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $6.40 / $18.17	Professional		$4.36	$6.40	$18.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $4.36 / $359.05	Facility		$4.36	$4.36	$359.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $71.81 / $2,120.40	Professional		$4.36	$71.81	$2,120.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.12 / $108.86	Professional		$6.12	$6.12	$108.86
United Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $5.49	Professional		$4.36	$4.36	$5.49