Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $36.92 / $109.62	Facility		$1.85	$36.92	$109.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.26 / $4.43	Professional		$1.22	$1.26	$4.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $1.53 / $1.53	Facility		$1.53	$1.53	$1.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.54	Professional		$1.22	$1.22	$1.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $1.67 / $1.95	Facility		$1.67	$1.67	$1.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $2.95 / $4.21	Facility		$1.22	$2.95	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.97 / $2.24	Professional		$1.24	$1.97	$2.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.23 / $2.86	Facility		$1.22	$1.23	$2.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.44 / $4.01	Professional		$1.85	$2.44	$4.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $10.52 / $16.82	Facility		$1.23	$10.52	$16.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $2.44	Professional		$1.23	$1.23	$2.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $65.00 / $85.00	Professional		$1.20	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.23 / $2.86	Facility		$1.22	$1.23	$2.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.44 / $4.01	Professional		$1.85	$2.44	$4.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.86 / $4.40	Professional		$1.22	$1.86	$4.40
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 $1.22 / $1.22 / $1.22	Professional		$1.22	$1.22	$1.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $3.90	Professional		$1.71	$1.71	$3.90
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.95	Professional		$1.22	$1.22	$1.95