Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $5.68 / $130.47	Facility		$2.81	$5.68	$130.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.81 / $9.98	Professional		$2.19	$2.81	$9.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $3.41 / $3.41	Facility		$3.41	$3.41	$3.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $3.46	Professional		$2.73	$2.73	$3.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $3.74 / $4.37	Facility		$3.74	$3.74	$4.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $6.08 / $8.69	Facility		$2.73	$6.08	$8.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.51 / $5.14	Professional		$2.54	$4.51	$5.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.84 / $5.70	Facility		$2.73	$2.84	$5.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $5.46 / $5.46	Professional		$2.41	$5.46	$5.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.94 / $2.84 / $7.77	Facility		$1.94	$2.84	$7.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $2.84 / $5.46	Professional		$2.84	$2.84	$5.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $65.00 / $85.00	Professional		$2.45	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.84 / $5.70	Facility		$2.73	$2.84	$5.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $5.46 / $5.46	Professional		$2.41	$5.46	$5.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.58 / $7.54	Professional		$2.72	$3.58	$7.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.73 / $100.00	Facility		$2.73	$2.73	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.73	Professional		$2.73	$2.73	$2.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $3.83 / $6.69	Professional		$3.83	$3.83	$6.69
United Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $4.37	Professional		$2.73	$2.73	$4.37