Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.56 / $2.94 / $3.48	Facility		$1.56	$2.94	$3.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.56 / $3.96	Professional		$1.51	$1.56	$3.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $1.89 / $1.89	Facility		$1.89	$1.89	$1.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.91	Professional		$1.51	$1.51	$1.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $2.42	Facility		$2.06	$2.06	$2.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $3.66 / $5.24	Facility		$1.51	$3.66	$5.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $2.35 / $2.68	Professional		$1.54	$2.35	$2.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.51 / $3.57	Facility		$1.32	$1.51	$3.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $3.02 / $3.02	Professional		$0.80	$3.02	$3.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.51 / $3.57	Facility		$1.32	$1.51	$3.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $3.02	Professional		$1.51	$1.51	$3.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $65.00 / $85.00	Professional		$1.51	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.51 / $3.57	Facility		$1.32	$1.51	$3.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $3.02 / $3.02	Professional		$0.80	$3.02	$3.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.35 / $5.00	Professional		$1.51	$2.35	$5.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $100.00	Facility		$1.51	$1.51	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Professional		$1.51	$1.51	$1.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $2.12 / $2.39	Professional		$1.89	$2.12	$2.39
United Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.96	Professional		$1.51	$1.51	$1.96