Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.84 / $79.23 / $380.42	Facility		$5.84	$79.23	$380.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.92 / $12.95	Professional		$1.95	$3.92	$12.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $2.44 / $2.44	Facility		$2.44	$2.44	$2.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.47	Professional		$1.95	$1.95	$2.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.67 / $2.67 / $3.12	Facility		$2.67	$2.67	$3.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $6.25 / $8.94	Facility		$1.95	$6.25	$8.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $4.19 / $4.76	Professional		$2.50	$4.19	$4.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.27 / $4.28	Facility		$1.95	$2.27	$4.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $3.90 / $3.90	Professional		$0.80	$3.90	$3.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $44.33 / $99.77	Facility		$10.96	$44.33	$99.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.27 / $3.90	Professional		$2.27	$2.27	$3.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $65.00 / $85.00	Professional		$2.47	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.27 / $4.28	Facility		$1.95	$2.27	$4.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $3.90 / $3.90	Professional		$0.80	$3.90	$3.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.04 / $8.00	Professional		$1.95	$3.04	$8.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $100.00	Facility		$1.95	$1.95	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $2.74 / $4.05	Professional		$2.74	$2.74	$4.05
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.93	Professional		$1.95	$1.95	$2.93