Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $8.27 / $9.75	Facility		$4.34	$8.27	$9.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.34 / $8.69	Professional		$4.23	$4.34	$8.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $7.83 / $9.43	Facility		$5.29	$7.83	$9.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $5.37	Professional		$4.23	$4.23	$5.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $5.79 / $6.77	Facility		$5.79	$5.79	$6.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $9.56 / $13.67	Facility		$4.23	$9.56	$13.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $5.97 / $6.79	Professional		$4.21	$5.97	$6.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $4.24 / $9.27	Facility		$2.65	$4.24	$9.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $8.46 / $8.46	Professional		$6.36	$8.46	$8.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $4.24 / $9.27	Facility		$2.65	$4.24	$9.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $8.46	Professional		$4.24	$4.24	$8.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $65.00 / $85.00	Professional		$3.99	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $4.24 / $9.27	Facility		$2.65	$4.24	$9.27
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $8.46 / $8.46	Professional		$6.36	$8.46	$8.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.61 / $12.00	Professional		$4.23	$4.61	$12.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $4.23	Professional		$4.23	$4.23	$4.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.94 / $5.94	Professional		$3.63	$5.94	$5.94
United Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $8.88	Professional		$4.23	$4.23	$8.88