Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $2.18 / $2.59	Facility		$1.15	$2.18	$2.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.46 / $5.24	Professional		$1.42	$1.46	$5.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $2.63 / $3.17	Facility		$1.78	$2.63	$3.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.80	Professional		$1.42	$1.42	$1.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $2.27	Facility		$1.95	$1.95	$2.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $3.31 / $4.73	Facility		$1.42	$3.31	$4.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $2.39 / $2.71	Professional		$1.24	$2.39	$2.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.12 / $2.86	Facility		$1.12	$1.12	$2.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $2.84 / $2.84	Professional		$1.68	$2.84	$2.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.12 / $2.13	Facility		$1.12	$1.12	$2.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.25 / $2.84	Professional		$1.12	$1.25	$2.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $55.00 / $85.00	Professional		$1.18	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.12 / $2.86	Facility		$1.12	$1.12	$2.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $2.84 / $2.84	Professional		$1.68	$2.84	$2.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.72 / $4.40	Professional		$1.42	$1.72	$4.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $1.42 / $85.00	Facility		$1.42	$1.42	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.42	Professional		$1.42	$1.42	$1.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $1.99	Professional		$1.99	$1.99	$1.99
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.58 / $2.09	Professional		$1.42	$1.58	$2.09