Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $1.76 / $256.02	Facility		$1.76	$1.76	$256.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.76 / $6.07	Professional		$1.71	$1.76	$6.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $2.56	Professional		$1.71	$1.71	$2.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.72 / $2.74	Facility		$2.34	$2.72	$2.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $4.42 / $6.26	Facility		$1.71	$4.42	$6.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $3.01 / $3.43	Professional		$1.71	$3.01	$3.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.71 / $1.78	Facility		$1.66	$1.71	$1.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $1.87 / $1.87	Professional		$1.87	$1.87	$1.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.71 / $1.78	Facility		$1.66	$1.71	$1.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $6.63	Professional		$1.71	$1.71	$6.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $65.00 / $85.00	Professional		$1.81	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.71 / $3.57	Facility		$1.66	$1.71	$3.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $1.87 / $1.87	Professional		$1.87	$1.87	$1.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.16 / $6.48	Professional		$1.71	$2.16	$6.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $3.30 / $8.56	Professional		$1.71	$3.30	$8.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.66	Professional		$2.40	$2.40	$2.66
United Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $2.74	Professional		$1.71	$1.71	$2.74