Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $47.85 / $87.72	Facility		$4.24	$47.85	$87.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $4.50 / $12.40	Professional		$2.21	$4.50	$12.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $2.76 / $2.76	Facility		$2.76	$2.76	$2.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $2.80	Professional		$2.21	$2.21	$2.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.54	Facility		$3.02	$3.02	$3.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.21 / $6.61 / $9.44	Facility		$2.21	$6.61	$9.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $4.19 / $4.76	Professional		$2.50	$4.19	$4.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $2.21 / $2.62	Facility		$0.77	$2.21	$2.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $4.42 / $4.42	Professional		$0.80	$4.42	$4.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $13.50 / $63.14	Facility		$2.62	$13.50	$63.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $2.62 / $4.42	Professional		$2.62	$2.62	$4.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $65.00 / $85.00	Professional		$2.47	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $2.21 / $2.62	Facility		$0.77	$2.21	$2.62
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $4.42 / $4.42	Professional		$0.80	$4.42	$4.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.88 / $8.00	Professional		$2.20	$2.88	$8.00
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 $2.21 / $2.21 / $2.21	Professional		$2.21	$2.21	$2.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $3.10 / $3.10	Professional		$2.12	$3.10	$3.10
United Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $3.32	Professional		$2.21	$2.21	$3.32