Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $3.54 / $1,122.60	Facility		$1.69	$3.54	$1,122.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $1.69 / $4.53	Professional		$1.63	$1.69	$4.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $3.03 / $3.66	Facility		$2.04	$3.03	$3.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $2.54	Professional		$1.64	$1.64	$2.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $2.62	Facility		$2.24	$2.24	$2.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $4.29 / $6.13	Facility		$1.64	$4.29	$6.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $2.70 / $3.06	Professional		$1.73	$2.70	$3.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.77 / $3.57	Facility		$1.64	$1.77	$3.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.28 / $3.28	Professional		$2.66	$3.28	$3.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.77 / $1.77 / $7.73	Facility		$1.77	$1.77	$7.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $1.77 / $3.28	Professional		$1.77	$1.77	$3.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $65.00 / $85.00	Professional		$1.71	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.77 / $3.57	Facility		$1.64	$1.77	$3.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.28 / $3.28	Professional		$2.66	$3.28	$3.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $2.15 / $5.50	Professional		$1.64	$2.15	$5.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $85.00	Facility		$1.64	$1.64	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $1.64	Professional		$1.64	$1.64	$1.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.64	Professional		$2.29	$2.29	$2.64
United Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $2.46	Professional		$1.64	$1.64	$2.46