Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $2.40 / $2.81	Facility		$1.26	$2.40	$2.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.28 / $2.99	Professional		$1.25	$1.28	$2.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.56 / $2.31 / $2.79	Facility		$1.56	$2.31	$2.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.25 / $1.58	Professional		$1.25	$1.25	$1.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $1.71 / $2.00	Facility		$1.71	$1.71	$2.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $2.95 / $4.21	Facility		$1.24	$2.95	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.87 / $2.13	Professional		$1.24	$1.87	$2.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $1.23 / $1.25	Facility		$0.83	$1.23	$1.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.50 / $2.50	Professional		$1.85	$2.50	$2.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $1.23 / $1.23	Facility		$0.83	$1.23	$1.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $2.50	Professional		$1.23	$1.23	$2.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $65.00 / $85.00	Professional		$1.20	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $1.23 / $1.25	Facility		$0.83	$1.23	$1.25
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.50 / $2.50	Professional		$1.85	$2.50	$2.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.57 / $4.00	Professional		$1.24	$1.57	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $1.24 / $100.00	Facility		$1.24	$1.24	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.24 / $1.24	Professional		$1.24	$1.24	$1.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.76 / $1.76	Professional		$1.25	$1.76	$1.76
United Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.25 / $1.71	Professional		$1.25	$1.25	$1.71