Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $6.94 / $119.55	Facility		$3.57	$6.94	$119.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.68 / $19.68	Professional		$3.57	$3.68	$19.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $4.46 / $4.46	Facility		$4.46	$4.46	$4.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $4.53	Professional		$3.57	$3.57	$4.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $5.71	Facility		$4.88	$4.88	$5.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $7.51 / $10.73	Facility		$3.57	$7.51	$10.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $5.15 / $5.85	Professional		$3.57	$5.15	$5.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $7.95	Facility		$3.47	$3.47	$7.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $7.14 / $18.70	Professional		$5.21	$7.14	$18.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $7.95	Facility		$3.47	$3.47	$7.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $7.14	Professional		$3.47	$3.47	$7.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $65.00 / $85.00	Professional		$3.47	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $7.95	Facility		$3.47	$3.47	$7.95
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $7.14 / $18.70	Professional		$5.21	$7.14	$18.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $4.59 / $10.22	Professional		$3.57	$4.59	$10.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $120.16	Facility		$3.57	$3.57	$120.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Professional		$3.57	$3.57	$3.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $13.46	Professional		$5.01	$5.01	$13.46
United Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $5.36	Professional		$3.57	$3.57	$5.36