Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $359.83 / $1,136.02	Facility		$6.65	$359.83	$1,136.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $80.00 / $603.74	Professional		$3.02	$80.00	$603.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $3.78 / $3.78	Facility		$3.78	$3.78	$3.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.83	Professional		$3.02	$3.02	$3.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $4.83	Facility		$4.13	$4.13	$4.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $6.97 / $9.96	Facility		$3.02	$6.97	$9.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $22.28 / $25.31	Professional		$4.50	$22.28	$25.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $2.89 / $52.99	Facility		$2.89	$2.89	$52.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $6.04 / $6.04	Professional		$4.34	$6.04	$6.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $18.34 / $138.49	Facility		$2.89	$18.34	$138.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $2.89 / $6.04	Professional		$2.89	$2.89	$6.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $65.00 / $85.00	Professional		$4.41	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $2.89 / $52.99	Facility		$2.89	$2.89	$52.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $6.04 / $6.04	Professional		$4.34	$6.04	$6.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.70 / $13.63	Professional		$3.02	$4.70	$13.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $100.00	Facility		$3.02	$3.02	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $91.28	Professional		$4.24	$4.24	$91.28
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.83	Professional		$3.02	$3.02	$4.83