Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $6.84 / $69.58	Facility		$3.62	$6.84	$69.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.82 / $8.03	Professional		$3.70	$3.82	$8.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $4.63 / $4.63	Facility		$4.63	$4.63	$4.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $4.69	Professional		$3.70	$3.70	$4.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $5.92	Facility		$5.05	$5.05	$5.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $8.76 / $12.52	Facility		$3.70	$8.76	$12.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $4.38 / $4.98	Professional		$3.15	$4.38	$4.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $3.51 / $7.85	Facility		$2.65	$3.51	$7.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $7.40 / $7.40	Professional		$0.80	$7.40	$7.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $3.51 / $27.11	Facility		$2.65	$3.51	$27.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $3.51 / $7.37	Professional		$3.51	$3.51	$7.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.08 / $65.00 / $85.00	Professional		$3.08	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $3.51 / $7.85	Facility		$2.65	$3.51	$7.85
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $7.40 / $7.40	Professional		$0.80	$7.40	$7.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $4.62 / $11.00	Professional		$3.70	$4.62	$11.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $3.70 / $100.00	Facility		$3.70	$3.70	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $3.70	Professional		$3.70	$3.70	$3.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $5.19 / $5.19	Professional		$3.67	$5.19	$5.19
United Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $5.57	Professional		$3.70	$3.70	$5.57