Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.43 / $41.91 / $119.60	Facility		$9.43	$41.91	$119.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.77 / $8.92	Professional		$5.60	$5.77	$8.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Facility		$7.00	$7.00	$7.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $7.11	Professional		$5.60	$5.60	$7.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $7.67 / $8.96	Facility		$7.67	$7.67	$8.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $9.83 / $14.05	Facility		$5.42	$9.83	$14.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $8.72 / $9.91	Professional		$4.59	$8.72	$9.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $5.19 / $12.13	Facility		$2.31	$5.19	$12.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $11.20 / $11.20	Professional		$4.80	$11.20	$11.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.19 / $36.04 / $46.66	Facility		$5.19	$36.04	$46.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $5.19 / $11.20	Professional		$5.19	$5.19	$11.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $65.00 / $85.00	Professional		$4.40	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $5.19 / $12.13	Facility		$2.31	$5.19	$12.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $11.20 / $11.20	Professional		$4.80	$11.20	$11.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $5.60 / $13.00	Professional		$5.59	$5.60	$13.00
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 $5.60 / $5.60 / $5.60	Professional		$5.60	$5.60	$5.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $7.86 / $7.86	Professional		$3.22	$7.86	$7.86
United Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $8.40	Professional		$5.60	$5.60	$8.40