Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $49.26 / $114.37	Facility		$5.29	$49.26	$114.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.93 / $19.28	Professional		$4.78	$4.93	$19.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $5.98 / $5.98	Facility		$5.98	$5.98	$5.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $6.07	Professional		$4.78	$4.78	$6.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.54 / $6.54 / $7.65	Facility		$6.54	$6.54	$7.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $10.90 / $15.58	Facility		$4.78	$10.90	$15.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $7.92 / $9.00	Professional		$5.09	$7.92	$9.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $5.13 / $10.69	Facility		$3.31	$5.13	$10.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $9.56 / $9.56	Professional		$5.88	$9.56	$9.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $11.40 / $71.78	Facility		$5.13	$11.40	$71.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $9.56	Professional		$5.13	$5.13	$9.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $65.00 / $85.00	Professional		$5.01	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $5.13 / $10.69	Facility		$3.31	$5.13	$10.69
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $9.56 / $9.56	Professional		$5.88	$9.56	$9.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $7.16 / $14.00	Professional		$4.78	$7.16	$14.00
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 $4.78 / $4.78 / $4.78	Professional		$4.78	$4.78	$4.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $6.71 / $9.16	Professional		$4.42	$6.71	$9.16
United Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $10.03	Professional		$4.78	$4.78	$10.03