Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $34.43 / $82.29	Facility		$2.69	$34.43	$82.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.89 / $6.63	Professional		$1.82	$1.89	$6.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $2.27	Facility		$2.27	$2.27	$2.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $2.31	Professional		$1.82	$1.82	$2.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $2.91	Facility		$2.49	$2.49	$2.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $4.29 / $6.13	Facility		$1.82	$4.29	$6.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $3.84 / $4.36	Professional		$1.82	$3.84	$4.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $1.79 / $4.28	Facility		$1.79	$1.79	$4.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $3.64 / $3.64	Professional		$1.60	$3.64	$3.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $18.23 / $39.04	Facility		$1.79	$18.23	$39.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $1.79 / $3.64	Professional		$1.79	$1.79	$3.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $65.00 / $85.00	Professional		$1.76	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $1.79 / $4.28	Facility		$1.79	$1.79	$4.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $3.64 / $3.64	Professional		$1.60	$3.64	$3.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.56 / $5.40	Professional		$1.81	$2.56	$5.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $1.82 / $100.00	Facility		$1.82	$1.82	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Professional		$1.82	$1.82	$1.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $4.76	Professional		$2.56	$2.56	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $2.73	Professional		$1.82	$1.82	$2.73