Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $2.75 / $3.26	Facility		$1.46	$2.75	$3.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.51 / $4.03	Professional		$1.47	$1.51	$4.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $2.72 / $3.28	Facility		$1.84	$2.72	$3.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.47 / $1.86	Professional		$1.47	$1.47	$1.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.35	Facility		$2.00	$2.00	$2.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $2.77 / $3.96	Facility		$1.47	$2.77	$3.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $2.52 / $2.88	Professional		$1.31	$2.52	$2.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $3.57	Facility		$1.41	$1.41	$3.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.94 / $2.94	Professional		$2.12	$2.94	$2.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $2.86	Facility		$1.41	$1.41	$2.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.57 / $2.94	Professional		$1.41	$1.57	$2.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $65.00 / $85.00	Professional		$1.26	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $3.57	Facility		$1.41	$1.41	$3.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.94 / $2.94	Professional		$2.12	$2.94	$2.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.95 / $4.00	Professional		$1.46	$1.95	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $1.47 / $85.00	Facility		$1.47	$1.47	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.47 / $1.47	Professional		$1.47	$1.47	$1.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.06 / $2.71	Professional		$1.82	$2.06	$2.71
United Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.64 / $2.21	Professional		$1.47	$1.64	$2.21