Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $15.33 / $122.18	Facility		$3.48	$15.33	$122.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $2.90 / $3.99	Professional		$2.62	$2.90	$3.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $3.68	Professional		$2.90	$2.90	$3.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $3.97 / $4.63	Facility		$3.97	$3.97	$4.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $4.47 / $6.39	Facility		$2.46	$4.47	$6.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $3.01 / $3.43	Professional		$2.20	$3.01	$3.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $2.31 / $6.41	Facility		$1.32	$2.31	$6.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $5.80 / $5.80	Professional		$1.60	$5.80	$5.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $7.59 / $43.42	Facility		$1.73	$7.59	$43.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.31 / $5.80	Professional		$2.31	$2.31	$5.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $65.00 / $85.00	Professional		$2.10	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $2.31 / $6.41	Facility		$1.32	$2.31	$6.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $5.80 / $5.80	Professional		$1.60	$5.80	$5.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.89 / $3.41	Professional		$2.25	$2.89	$3.41
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 $2.90 / $2.90 / $2.90	Professional		$2.90	$2.90	$2.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $4.07 / $4.07	Professional		$1.47	$4.07	$4.07
United Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $3.97	Professional		$2.90	$2.90	$3.97