Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $91.98 / $568.74	Facility		$5.71	$91.98	$568.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.30 / $11.93	Professional		$2.41	$3.30	$11.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $3.01 / $3.01	Facility		$3.01	$3.01	$3.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $3.06	Professional		$2.41	$2.41	$3.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.30 / $3.86	Facility		$3.30	$3.30	$3.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $5.90 / $8.43	Facility		$2.41	$5.90	$8.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $4.04 / $4.59	Professional		$2.41	$4.04	$4.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.46 / $4.99	Facility		$2.31	$2.46	$4.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $4.82 / $4.82	Professional		$0.80	$4.82	$4.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $30.54 / $109.60	Facility		$3.70	$30.54	$109.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $2.46 / $4.82	Professional		$2.46	$2.46	$4.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $65.00 / $85.00	Professional		$2.29	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.46 / $4.99	Facility		$2.31	$2.46	$4.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $4.82 / $4.82	Professional		$0.80	$4.82	$4.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.57 / $7.00	Professional		$2.41	$3.57	$7.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $2.41 / $100.00	Facility		$2.41	$2.41	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $2.41	Professional		$2.41	$2.41	$2.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.38 / $3.87	Professional		$3.06	$3.38	$3.87
United Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $3.37	Professional		$2.41	$2.41	$3.37