Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $62.21 / $228.26	Facility		$2.54	$62.21	$228.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.10 / $4.32	Professional		$1.07	$1.10	$4.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.34 / $1.34	Facility		$1.34	$1.34	$1.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.35	Professional		$1.07	$1.07	$1.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $1.47 / $1.71	Facility		$1.47	$1.47	$1.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $2.68 / $3.83	Facility		$1.07	$2.68	$3.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.84 / $2.09	Professional		$1.12	$1.84	$2.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.11 / $2.13	Facility		$1.07	$1.11	$2.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.14 / $3.47	Professional		$1.67	$2.14	$3.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $11.61 / $30.03	Facility		$1.57	$11.61	$30.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $2.14	Professional		$1.11	$1.11	$2.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $65.00 / $85.00	Professional		$1.12	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.11 / $2.13	Facility		$1.07	$1.11	$2.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.14 / $3.47	Professional		$1.67	$2.14	$3.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.67 / $4.40	Professional		$1.07	$1.67	$4.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.07 / $100.00	Facility		$1.07	$1.07	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.07	Professional		$1.07	$1.07	$1.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.50 / $3.07	Professional		$1.50	$1.50	$3.07
United Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $2.25	Professional		$1.07	$1.07	$2.25