Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.36 / $44.70 / $247.23	Facility		$2.36	$44.70	$247.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.90 / $5.08	Professional		$1.85	$1.90	$5.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Facility		$2.31	$2.31	$2.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.34	Professional		$1.85	$1.85	$2.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $2.52 / $2.96	Facility		$2.52	$2.52	$2.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $4.55 / $6.51	Facility		$1.85	$4.55	$6.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $3.17 / $3.60	Professional		$2.06	$3.17	$3.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $2.29 / $4.28	Facility		$1.85	$2.29	$4.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $3.70 / $3.70	Professional		$2.67	$3.70	$3.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $23.78 / $305.22	Facility		$2.29	$23.78	$305.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $3.70	Professional		$2.29	$2.29	$3.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $65.00 / $85.00	Professional		$2.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $2.29 / $4.28	Facility		$1.85	$2.29	$4.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $3.70 / $3.70	Professional		$2.67	$3.70	$3.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.87 / $6.00	Professional		$1.84	$2.87	$6.00
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 $1.85 / $1.85 / $1.85	Professional		$1.85	$1.85	$1.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $3.32	Professional		$2.60	$2.60	$3.32
United Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.96	Professional		$1.85	$1.85	$2.96