Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $8.94 / $639.85	Facility		$3.63	$8.94	$639.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.63 / $27.38	Professional		$3.52	$3.63	$27.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $6.51 / $7.85	Facility		$4.40	$6.51	$7.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $4.47	Professional		$3.52	$3.52	$4.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $4.82 / $5.63	Facility		$4.82	$4.82	$5.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $13.13 / $18.77	Facility		$3.52	$13.13	$18.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $9.86 / $11.21	Professional		$4.58	$9.86	$11.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $3.57 / $11.59	Facility		$3.52	$3.57	$11.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $7.04 / $7.04	Professional		$1.60	$7.04	$7.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.89 / $11.59	Facility		$3.57	$3.89	$11.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $7.04	Professional		$3.89	$3.89	$7.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $65.00 / $85.00	Professional		$4.49	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $3.57 / $11.59	Facility		$3.52	$3.57	$11.59
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $7.04 / $7.04	Professional		$1.60	$7.04	$7.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $5.48 / $17.03	Professional		$3.52	$5.48	$17.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $3.52 / $100.00	Facility		$3.52	$3.52	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.52	Professional		$3.52	$3.52	$3.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $4.94 / $19.71	Professional		$4.94	$4.94	$19.71
United Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $5.63	Professional		$3.52	$3.52	$5.63