Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.93 / $13.96 / $16.03	Facility		$6.93	$13.96	$16.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.93 / $54.85	Professional		$6.73	$6.93	$54.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $12.45 / $15.01	Facility		$8.41	$12.45	$15.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $9.08	Professional		$6.73	$6.73	$9.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $9.76 / $12.33	Facility		$6.73	$9.76	$12.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.98 / $15.60	Professional		$6.73	$6.98	$15.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $10.19 / $20.89	Facility		$6.73	$10.19	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $8.77 / $16.59	Professional		$6.73	$8.77	$16.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.98 / $146.61	Facility		$6.73	$6.98	$146.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.46 / $57.18	Professional		$10.47	$13.46	$57.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $7.19 / $106.25	Facility		$6.98	$7.19	$106.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $7.77 / $2,103.23	Professional		$6.98	$7.77	$2,103.23
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 $6.73 / $6.98 / $146.61	Facility		$6.73	$6.98	$146.61
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.46 / $57.18	Professional		$10.47	$13.46	$57.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $10.48 / $23.85	Professional		$6.73	$10.48	$23.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $85.00 / $274.26	Facility		$6.73	$85.00	$274.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $52.74 / $2,103.23	Professional		$6.73	$52.74	$2,103.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $154.19	Professional		$9.44	$9.44	$154.19
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.86 / $8.48	Professional		$6.73	$6.86	$8.48