Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.36 / $37.04 / $78.17	Facility		$2.36	$37.04	$78.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.12 / $2.72	Professional		$1.09	$1.12	$2.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.36 / $1.36 / $1.36	Facility		$1.36	$1.36	$1.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $1.38	Professional		$1.09	$1.09	$1.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $1.50 / $1.74	Facility		$1.50	$1.50	$1.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $2.41 / $3.45	Facility		$1.09	$2.41	$3.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.71 / $1.94	Professional		$1.12	$1.71	$1.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $2.13	Facility		$1.00	$1.00	$2.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $2.16 / $2.16	Professional		$0.26	$2.16	$2.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $35.49 / $52.57	Facility		$2.13	$35.49	$52.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.11 / $2.16	Professional		$1.00	$1.11	$2.16
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 $1.00 / $1.00 / $2.13	Facility		$1.00	$1.00	$2.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $2.16 / $2.16	Professional		$0.26	$2.16	$2.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.53 / $3.00	Professional		$1.08	$1.53	$3.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $1.09 / $100.00	Facility		$1.09	$1.09	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $1.09	Professional		$1.09	$1.09	$1.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $1.53 / $2.40	Professional		$1.53	$1.53	$2.40
United Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.21 / $1.64	Professional		$1.09	$1.21	$1.64