Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $45.70 / $80.92	Facility		$1.80	$45.70	$80.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.80 / $2.83	Professional		$1.75	$1.80	$2.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Facility		$2.19	$2.19	$2.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $2.22	Professional		$1.75	$1.75	$2.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.80	Facility		$2.40	$2.40	$2.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.43 / $2.59 / $3.70	Facility		$1.43	$2.59	$3.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $2.59 / $2.94	Professional		$1.44	$2.59	$2.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.64 / $3.57	Facility		$0.99	$1.64	$3.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $3.50 / $3.50	Professional		$0.26	$3.50	$3.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $6.31 / $14.26	Facility		$1.64	$6.31	$14.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $3.44	Professional		$1.64	$1.64	$3.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $65.00 / $85.00	Professional		$1.40	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.64 / $3.57	Facility		$0.99	$1.64	$3.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $3.50 / $3.50	Professional		$0.26	$3.50	$3.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $1.75 / $4.00	Professional		$1.56	$1.75	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $100.00	Facility		$1.74	$1.74	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.46 / $2.46	Professional		$1.26	$2.46	$2.46
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $2.63	Professional		$1.75	$1.75	$2.63