Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $3.72 / $4.38	Facility		$1.97	$3.72	$4.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.02 / $4.17	Professional		$1.96	$2.02	$4.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.63 / $4.37	Facility		$2.45	$3.63	$4.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $1.96 / $2.48	Professional		$1.96	$1.96	$2.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $3.14	Facility		$2.69	$2.69	$3.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $4.38 / $6.26	Facility		$1.96	$4.38	$6.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $2.77 / $3.15	Professional		$1.89	$2.77	$3.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.91 / $4.28	Facility		$1.32	$1.91	$4.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $3.92 / $3.92	Professional		$2.87	$3.92	$3.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.91 / $4.28	Facility		$1.32	$1.91	$4.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.91 / $3.92	Professional		$1.91	$1.91	$3.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $65.00 / $85.00	Professional		$1.80	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.91 / $4.28	Facility		$1.32	$1.91	$4.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $3.92 / $3.92	Professional		$2.87	$3.92	$3.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.42 / $6.00	Professional		$1.96	$2.42	$6.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $1.96 / $1.96	Professional		$1.96	$1.96	$1.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.75 / $2.75	Professional		$1.78	$2.75	$2.75
United Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $1.96 / $2.68	Professional		$1.96	$1.96	$2.68