Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $52.56 / $95.99	Facility		$1.98	$52.56	$95.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.37 / $1.42 / $2.27	Professional		$1.37	$1.42	$2.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Facility		$1.73	$1.73	$1.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $1.75	Professional		$1.38	$1.38	$1.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $1.89 / $2.21	Facility		$1.89	$1.89	$2.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $3.48 / $4.98	Facility		$1.38	$3.48	$4.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.75 / $2.02	Professional		$1.61	$1.75	$2.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $1.32 / $2.86	Facility		$0.66	$1.32	$2.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $2.76 / $2.76	Professional		$0.54	$2.76	$2.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $39.29 / $71.31	Facility		$1.32	$39.29	$71.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.47 / $2.76	Professional		$1.32	$1.47	$2.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $65.00 / $85.00	Professional		$1.57	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $1.32 / $2.86	Facility		$0.66	$1.32	$2.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $2.76 / $2.76	Professional		$0.54	$2.76	$2.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.46 / $4.00	Professional		$1.38	$1.46	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.38 / $100.00	Facility		$1.38	$1.38	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $1.38	Professional		$1.38	$1.38	$1.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.94 / $1.94	Professional		$0.92	$1.94	$1.94
United Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.54 / $1.93	Professional		$1.38	$1.54	$1.93