Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.21 / $9.11 / $307.57	Facility		$3.21	$9.11	$307.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.23 / $10.00	Professional		$3.11	$3.23	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.94	Professional		$3.11	$3.11	$3.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $4.25 / $4.98	Facility		$4.25	$4.25	$4.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $8.85 / $12.64	Facility		$3.11	$8.85	$12.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $6.02 / $6.84	Professional		$3.75	$6.02	$6.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $7.14	Facility		$3.04	$3.04	$7.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $6.22 / $6.22	Professional		$2.14	$6.22	$6.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $4.30 / $51.00	Facility		$3.04	$4.30	$51.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $6.22	Professional		$3.04	$3.04	$6.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $65.00 / $85.00	Professional		$3.64	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $7.14	Facility		$3.04	$3.04	$7.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $6.22 / $6.22	Professional		$2.14	$6.22	$6.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.84 / $11.00	Professional		$3.11	$4.84	$11.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $3.11 / $100.00	Facility		$3.11	$3.11	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $7.21	Professional		$4.37	$4.37	$7.21
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $4.67	Professional		$3.11	$3.11	$4.67