Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.97 / $76.69 / $227.76	Facility		$2.97	$76.69	$227.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.56 / $6.65	Professional		$1.26	$1.56	$6.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Facility		$1.58	$1.58	$1.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.60	Professional		$1.26	$1.26	$1.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $1.72 / $2.02	Facility		$1.72	$1.72	$2.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $3.13 / $4.47	Facility		$1.26	$3.13	$4.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $2.10 / $2.39	Professional		$1.28	$2.10	$2.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.38 / $2.86	Facility		$0.99	$1.38	$2.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $2.52 / $2.52	Professional		$0.54	$2.52	$2.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $42.06 / $80.48	Facility		$3.39	$42.06	$80.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $2.52	Professional		$1.38	$1.38	$2.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $65.00 / $85.00	Professional		$1.24	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.38 / $2.86	Facility		$0.99	$1.38	$2.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $2.52 / $2.52	Professional		$0.54	$2.52	$2.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.91 / $4.00	Professional		$1.26	$1.91	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $100.00	Facility		$1.26	$1.26	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.77 / $2.04	Professional		$1.58	$1.77	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.76	Professional		$1.26	$1.26	$1.76