Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $11.13 / $13.11	Facility		$5.81	$11.13	$13.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.81 / $12.65	Professional		$5.64	$5.81	$12.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.05 / $10.43 / $12.58	Facility		$7.05	$10.43	$12.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $7.16	Professional		$5.64	$5.64	$7.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.72 / $7.72 / $9.02	Facility		$7.72	$7.72	$9.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $7.18 / $15.46	Facility		$5.64	$7.18	$15.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $8.35 / $9.49	Professional		$5.64	$8.35	$9.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.56 / $12.13	Facility		$0.56	$0.56	$12.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $11.28 / $11.28	Professional		$0.86	$11.28	$11.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $1.42 / $5.71	Facility		$0.56	$1.42	$5.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $11.28	Professional		$5.71	$5.71	$11.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $65.00 / $85.00	Professional		$5.45	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.56 / $12.13	Facility		$0.56	$0.56	$12.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $11.28 / $11.28	Professional		$0.86	$11.28	$11.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.98 / $18.37	Professional		$5.64	$5.98	$18.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $5.64	Professional		$5.64	$5.64	$5.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $7.92 / $8.19	Professional		$5.87	$7.92	$8.19
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $7.90	Professional		$5.64	$5.64	$7.90