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 $1.54 / $1.59 / $2.61	Professional		$1.54	$1.59	$2.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $2.85 / $3.43	Facility		$1.93	$2.85	$3.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.54 / $1.95	Professional		$1.54	$1.54	$1.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.11 / $2.46	Facility		$2.11	$2.11	$2.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.54 / $3.31 / $4.73	Facility		$1.54	$3.31	$4.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $2.09 / $2.38	Professional		$1.47	$2.09	$2.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.52 / $3.57	Facility		$1.32	$1.52	$3.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.08 / $3.08	Professional		$2.27	$3.08	$3.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.52 / $3.57	Facility		$1.32	$1.52	$3.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $3.08	Professional		$1.52	$1.52	$3.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $65.00 / $85.00	Professional		$1.40	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.52 / $3.57	Facility		$1.32	$1.52	$3.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.08 / $3.08	Professional		$2.27	$3.08	$3.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.67 / $4.00	Professional		$1.54	$1.67	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.54 / $1.54	Professional		$1.54	$1.54	$1.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.16 / $2.16	Professional		$1.66	$2.16	$2.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.54 / $2.46	Professional		$1.54	$1.54	$2.46