Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $6.36 / $7.47	Facility		$3.34	$6.36	$7.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $3.34 / $7.49	Professional		$3.25	$3.34	$7.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $6.01 / $7.25	Facility		$4.05	$6.01	$7.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $3.25 / $4.12	Professional		$3.25	$3.25	$4.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $4.45 / $5.20	Facility		$4.45	$4.45	$5.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $7.77 / $11.11	Facility		$3.24	$7.77	$11.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.82 / $5.48	Professional		$3.24	$4.82	$5.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.26 / $7.14	Facility		$3.25	$3.26	$7.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.50 / $6.50	Professional		$4.88	$6.50	$6.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.26 / $7.14	Facility		$3.25	$3.26	$7.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.26 / $6.50	Professional		$3.26	$3.26	$6.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $65.00 / $85.00	Professional		$3.14	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.26 / $7.14	Facility		$3.25	$3.26	$7.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.50 / $6.50	Professional		$4.88	$6.50	$6.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.30 / $11.00	Professional		$3.24	$4.30	$11.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $85.00	Facility		$3.24	$3.24	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.55 / $4.55	Professional		$4.25	$4.55	$4.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $3.25 / $4.38	Professional		$3.25	$3.25	$4.38