Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $6.28 / $7.20	Facility		$3.23	$6.28	$7.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $7.03 / $62.54	Professional		$6.83	$7.03	$62.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $8.53 / $8.53	Facility		$8.53	$8.53	$8.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $8.67	Professional		$6.83	$6.83	$8.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $9.35 / $10.93	Facility		$9.35	$9.35	$10.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $18.05 / $25.80	Facility		$6.83	$18.05	$25.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $15.22 / $17.30	Professional		$5.45	$15.22	$17.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $3.14 / $16.55	Facility		$3.14	$3.14	$16.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $13.66 / $13.66	Professional		$3.47	$13.66	$13.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $3.14 / $56.08	Facility		$3.14	$3.14	$56.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.14 / $13.66	Professional		$3.14	$3.14	$13.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $65.00 / $85.00	Professional		$5.18	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $3.14 / $16.55	Facility		$3.14	$3.14	$16.55
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $13.66 / $13.66	Professional		$3.47	$13.66	$13.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $8.02 / $24.98	Professional		$6.83	$8.02	$24.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $6.83 / $100.00	Facility		$6.83	$6.83	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Professional		$6.83	$6.83	$6.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $9.59 / $31.16	Professional		$9.59	$9.59	$31.16
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $10.93	Professional		$6.83	$6.83	$10.93