Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $78.31 / $157.94	Facility		$1.46	$78.31	$157.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.46 / $5.51	Professional		$1.40	$1.46	$5.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $1.76 / $1.76	Facility		$1.76	$1.76	$1.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.79	Professional		$1.41	$1.41	$1.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $1.93 / $2.25	Facility		$1.93	$1.93	$2.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $2.77 / $3.96	Facility		$1.41	$2.77	$3.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $2.48 / $2.81	Professional		$1.31	$2.48	$2.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.36 / $2.86	Facility		$0.99	$1.36	$2.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $2.82 / $2.82	Professional		$0.26	$2.82	$2.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.36 / $13.39 / $63.18	Facility		$1.36	$13.39	$63.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.36 / $2.82	Professional		$1.36	$1.36	$2.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $65.00 / $85.00	Professional		$1.25	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.36 / $2.86	Facility		$0.99	$1.36	$2.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $2.82 / $2.82	Professional		$0.26	$2.82	$2.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.87 / $4.00	Professional		$1.41	$1.87	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $100.00	Facility		$1.41	$1.41	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.41	Professional		$1.41	$1.41	$1.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.98 / $1.98	Professional		$1.25	$1.98	$1.98
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.97	Professional		$1.41	$1.41	$1.97