Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $6.69 / $7.87	Facility		$3.53	$6.69	$7.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.58 / $5.89	Professional		$3.48	$3.58	$5.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $6.44 / $7.76	Facility		$4.34	$6.44	$7.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $5.39	Professional		$3.48	$3.48	$5.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $5.57	Facility		$4.76	$4.76	$5.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $9.28 / $13.28	Facility		$3.48	$9.28	$13.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $6.73 / $7.65	Professional		$3.64	$6.73	$7.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.43 / $8.27	Facility		$3.43	$3.43	$8.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $6.96 / $6.96	Professional		$5.15	$6.96	$6.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.43 / $12.77	Facility		$3.43	$3.43	$12.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $3.43 / $6.96	Professional		$3.43	$3.43	$6.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $55.00 / $85.00	Professional		$3.55	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.43 / $8.27	Facility		$3.43	$3.43	$8.27
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $6.96 / $6.96	Professional		$5.15	$6.96	$6.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $5.41 / $12.49	Professional		$3.48	$5.41	$12.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $3.48	Professional		$3.48	$3.48	$3.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $19.11	Professional		$4.88	$4.88	$19.11
United Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $4.97	Professional		$3.48	$3.48	$4.97