Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.56 / $2.96 / $3.48	Facility		$1.56	$2.96	$3.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.56 / $2.61	Professional		$1.52	$1.56	$2.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $2.81 / $3.39	Facility		$1.90	$2.81	$3.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.93	Professional		$1.52	$1.52	$1.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $2.08 / $2.43	Facility		$2.08	$2.08	$2.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $3.48 / $4.98	Facility		$1.52	$3.48	$4.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $2.16 / $2.45	Professional		$1.52	$2.16	$2.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.52 / $3.57	Facility		$1.52	$1.52	$3.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.04 / $3.04	Professional		$2.27	$3.04	$3.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.52 / $3.57	Facility		$1.52	$1.52	$3.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $3.04	Professional		$1.52	$1.52	$3.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $65.00 / $85.00	Professional		$1.48	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.52 / $3.57	Facility		$1.52	$1.52	$3.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.04 / $3.04	Professional		$2.27	$3.04	$3.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.96 / $5.50	Professional		$1.52	$1.96	$5.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.52 / $85.00	Facility		$1.52	$1.52	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.52	Professional		$1.52	$1.52	$1.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $2.13 / $2.13	Professional		$0.47	$2.13	$2.13
United Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.98	Professional		$1.52	$1.52	$1.98