Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $8.26 / $96.55	Facility		$4.26	$8.26	$96.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.29 / $11.74	Professional		$4.17	$4.29	$11.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.21 / $5.21 / $5.21	Facility		$5.21	$5.21	$5.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $5.29	Professional		$4.17	$4.17	$5.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $5.71 / $6.67	Facility		$5.71	$5.71	$6.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $9.74 / $13.92	Facility		$4.17	$9.74	$13.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.45 / $7.33	Professional		$4.17	$6.45	$7.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $4.13 / $9.27	Facility		$3.97	$4.13	$9.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $8.34 / $8.34	Professional		$0.54	$8.34	$8.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $4.13 / $9.27	Facility		$3.97	$4.13	$9.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $8.34	Professional		$4.13	$4.13	$8.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $65.00 / $85.00	Professional		$4.18	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $4.13 / $9.27	Facility		$3.97	$4.13	$9.27
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $8.34 / $8.34	Professional		$0.54	$8.34	$8.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.93 / $13.00	Professional		$4.17	$5.93	$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 $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $5.85 / $6.57	Professional		$5.19	$5.85	$6.57
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $5.63	Professional		$4.17	$4.17	$5.63