Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $4.54 / $19.39	Facility		$2.33	$4.54	$19.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.65 / $18.00	Professional		$3.54	$3.65	$18.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $4.43 / $4.43	Facility		$4.43	$4.43	$4.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $4.49	Professional		$3.54	$3.54	$4.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $4.84 / $5.66	Facility		$4.84	$4.84	$5.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $15.37 / $21.97	Facility		$3.54	$15.37	$21.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $8.47 / $9.63	Professional		$3.51	$8.47	$9.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $9.27	Facility		$2.27	$2.27	$9.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $7.08 / $14.97	Professional		$3.41	$7.08	$14.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $9.27	Facility		$2.27	$2.27	$9.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.27 / $7.08	Professional		$2.27	$2.27	$7.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $65.00 / $85.00	Professional		$3.34	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $9.27	Facility		$2.27	$2.27	$9.27
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $7.08 / $14.97	Professional		$3.41	$7.08	$14.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $5.57 / $17.60	Professional		$3.54	$5.57	$17.60
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 $3.54 / $3.54 / $3.54	Professional		$3.54	$3.54	$3.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $4.97 / $15.85	Professional		$4.97	$4.97	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $5.31	Professional		$3.54	$3.54	$5.31