Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $3.28 / $65.69	Facility		$1.62	$3.28	$65.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.63 / $5.11	Professional		$1.57	$1.63	$5.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $1.96 / $1.96	Facility		$1.96	$1.96	$1.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $1.99	Professional		$1.57	$1.57	$1.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $2.15 / $2.50	Facility		$2.15	$2.15	$2.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $4.01 / $5.75	Facility		$1.57	$4.01	$5.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $2.64 / $3.00	Professional		$1.61	$2.64	$3.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.64 / $3.57	Facility		$1.57	$1.64	$3.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.14 / $3.14	Professional		$2.41	$3.14	$3.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $33.84	Facility		$1.64	$1.64	$33.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $3.14	Professional		$1.64	$1.64	$3.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $65.00 / $85.00	Professional		$1.60	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.64 / $3.57	Facility		$1.57	$1.64	$3.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.14 / $3.14	Professional		$2.41	$3.14	$3.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $2.44 / $5.00	Professional		$1.57	$2.44	$5.00
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 $1.57 / $1.57 / $1.57	Professional		$1.57	$1.57	$1.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.20 / $3.33	Professional		$2.20	$2.20	$3.33
United Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $2.36	Professional		$1.57	$1.57	$2.36