Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $168.92 / $453.53	Facility		$5.00	$168.92	$453.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $12.39 / $255.00	Professional		$4.86	$12.39	$255.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $6.08 / $6.08	Facility		$6.08	$6.08	$6.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $6.17	Professional		$4.86	$4.86	$6.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $6.65 / $7.78	Facility		$6.65	$6.65	$7.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $11.62 / $16.60	Facility		$4.86	$11.62	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $7.54 / $8.56	Professional		$4.99	$7.54	$8.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $4.97 / $8.83	Facility		$4.30	$4.97	$8.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $9.72 / $9.72	Professional		$3.74	$9.72	$9.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $4.97 / $15.36	Facility		$4.30	$4.97	$15.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $4.97 / $9.72	Professional		$4.97	$4.97	$9.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $65.00 / $85.00	Professional		$4.88	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $4.97 / $8.83	Facility		$4.30	$4.97	$8.83
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $9.72 / $9.72	Professional		$3.74	$9.72	$9.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $7.56 / $15.00	Professional		$4.84	$7.56	$15.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $4.86 / $100.00	Facility		$4.86	$4.86	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $4.86	Professional		$4.86	$4.86	$4.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $6.82 / $7.64	Professional		$6.04	$6.82	$7.64
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $7.29	Professional		$4.86	$4.86	$7.29