Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $6.30 / $7.43	Facility		$3.32	$6.30	$7.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.32 / $8.36	Professional		$3.23	$3.32	$8.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $5.98 / $7.20	Facility		$4.04	$5.98	$7.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $4.09	Professional		$3.23	$3.23	$4.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $4.42 / $5.17	Facility		$4.42	$4.42	$5.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $7.77 / $11.11	Facility		$3.23	$7.77	$11.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.03 / $5.71	Professional		$3.30	$5.03	$5.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $3.23 / $7.14	Facility		$3.23	$3.23	$7.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.46 / $6.46	Professional		$4.84	$6.46	$6.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $3.23 / $7.14	Facility		$3.23	$3.23	$7.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $6.46	Professional		$3.23	$3.23	$6.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $65.00 / $85.00	Professional		$3.23	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $3.23 / $7.14	Facility		$3.23	$3.23	$7.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.46 / $6.46	Professional		$4.84	$6.46	$6.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.92 / $11.00	Professional		$3.22	$3.92	$11.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $3.23 / $95.00	Facility		$3.23	$3.23	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $3.23	Professional		$3.23	$3.23	$3.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $4.53 / $4.53	Professional		$4.53	$4.53	$4.53
United Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $4.42	Professional		$3.23	$3.23	$4.42