Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $19.10 / $80.03	Facility		$3.92	$19.10	$80.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.10 / $10.56	Professional		$2.04	$2.10	$10.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $2.54	Facility		$2.54	$2.54	$2.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.61	Professional		$2.04	$2.04	$2.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $2.79 / $3.26	Facility		$2.79	$2.79	$3.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $5.00 / $7.15	Facility		$2.04	$5.00	$7.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.05 / $4.61	Professional		$2.29	$4.05	$4.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.61 / $5.70	Facility		$2.04	$2.61	$5.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $4.08 / $12.30	Professional		$3.92	$4.08	$12.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $35.35 / $65.68	Facility		$2.61	$35.35	$65.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $4.08	Professional		$2.61	$2.61	$4.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $65.00 / $85.00	Professional		$2.22	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.61 / $5.70	Facility		$2.04	$2.61	$5.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $4.08 / $12.30	Professional		$3.92	$4.08	$12.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.17 / $7.00	Professional		$2.04	$3.17	$7.00
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 $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $2.86 / $4.91	Professional		$2.86	$2.86	$4.91
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $3.06	Professional		$2.04	$2.04	$3.06