Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $12.15 / $310.02	Facility		$5.46	$12.15	$310.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.46 / $7.68	Professional		$5.29	$5.46	$7.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $6.63 / $6.63	Facility		$6.63	$6.63	$6.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $7.95 / $8.48	Professional		$5.30	$7.95	$8.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $7.41 / $9.72	Facility		$5.29	$7.41	$9.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.30 / $12.30	Professional		$5.29	$5.30	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $6.72 / $12.29	Facility		$5.30	$6.72	$12.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $6.56 / $8.28	Professional		$5.30	$6.56	$8.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $5.30 / $10.44	Facility		$3.31	$5.30	$10.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $10.60 / $10.60	Professional		$0.80	$10.60	$10.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $5.29 / $10.44	Facility		$3.31	$5.29	$10.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.89 / $97.55	Professional		$5.29	$5.89	$97.55
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 $3.31 / $5.30 / $10.44	Facility		$3.31	$5.30	$10.44
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $10.60 / $10.60	Professional		$0.80	$10.60	$10.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $6.71 / $15.00	Professional		$5.30	$6.71	$15.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $85.00 / $383.26	Facility		$5.30	$85.00	$383.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $8.89 / $97.55	Professional		$5.30	$8.89	$97.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.29 / $5.29	Professional		$5.29	$5.29	$5.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $7.18 / $7.44	Professional		$4.61	$7.18	$7.44
United Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.57 / $6.45	Professional		$5.30	$5.57	$6.45