Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $16.01 / $95.36	Facility		$4.07	$16.01	$95.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $4.07 / $7.86	Professional		$3.95	$4.07	$7.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $4.94 / $4.94	Facility		$4.94	$4.94	$4.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $5.01	Professional		$3.95	$3.95	$5.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $5.41 / $6.32	Facility		$5.41	$5.41	$6.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $8.49 / $12.13	Facility		$3.95	$8.49	$12.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $5.13 / $5.83	Professional		$3.79	$5.13	$5.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $3.82 / $8.56	Facility		$2.31	$3.82	$8.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $7.90 / $7.90	Professional		$1.07	$7.90	$7.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $20.92 / $28.43	Facility		$3.82	$20.92	$28.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $3.82 / $7.90	Professional		$3.82	$3.82	$7.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $65.00 / $85.00	Professional		$3.63	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $3.82 / $8.56	Facility		$2.31	$3.82	$8.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $7.90 / $7.90	Professional		$1.07	$7.90	$7.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $4.61 / $11.00	Professional		$3.95	$4.61	$11.00
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 $3.95 / $3.95 / $3.95	Professional		$3.95	$3.95	$3.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $5.55 / $5.55	Professional		$3.10	$5.55	$5.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $5.41	Professional		$3.95	$3.95	$5.41