Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $56.83 / $294.86	Facility		$1.52	$56.83	$294.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.52 / $22.80	Professional		$1.48	$1.52	$22.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $2.22	Professional		$1.48	$1.48	$2.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.06 / $2.37	Facility		$2.02	$2.06	$2.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $3.69 / $5.24	Facility		$1.48	$3.69	$5.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.60 / $2.95	Professional		$1.48	$2.60	$2.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $1.48 / $1.66	Facility		$1.47	$1.48	$1.66
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 $1.47 / $1.66 / $19.00	Facility		$1.47	$1.66	$19.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.47 / $3.45	Professional		$1.47	$1.47	$3.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $65.00 / $85.00	Professional		$1.49	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $1.48 / $3.57	Facility		$1.47	$1.48	$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 $1.47 / $1.80 / $5.40	Professional		$1.47	$1.80	$5.40
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 $1.48 / $2.73 / $22.14	Professional		$1.48	$2.73	$22.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $3.17	Professional		$2.08	$2.08	$3.17
United Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $2.22	Professional		$1.48	$1.48	$2.22