Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $30.24 / $159.38	Facility		$2.09	$30.24	$159.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.48 / $7.46	Professional		$1.81	$2.48	$7.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Facility		$2.25	$2.25	$2.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $2.29	Professional		$1.81	$1.81	$2.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $2.48 / $2.90	Facility		$2.48	$2.48	$2.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $4.47 / $6.39	Facility		$1.81	$4.47	$6.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $3.01 / $3.43	Professional		$1.88	$3.01	$3.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.02 / $4.28	Facility		$1.81	$2.02	$4.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $3.62 / $3.62	Professional		$1.07	$3.62	$3.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $37.11 / $66.03	Facility		$2.31	$37.11	$66.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $3.62	Professional		$2.02	$2.02	$3.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $65.00 / $85.00	Professional		$1.82	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.02 / $4.28	Facility		$1.81	$2.02	$4.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $3.62 / $3.62	Professional		$1.07	$3.62	$3.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.82 / $6.00	Professional		$1.81	$2.82	$6.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $1.81 / $100.00	Facility		$1.81	$1.81	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.81	Professional		$1.81	$1.81	$1.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.91	Professional		$2.54	$2.54	$3.91
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $3.80	Professional		$1.81	$1.81	$3.80