Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $5.17 / $6.09	Facility		$2.73	$5.17	$6.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $2.73 / $5.90	Professional		$2.66	$2.73	$5.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $4.92 / $5.93	Facility		$3.33	$4.92	$5.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $2.66 / $3.37	Professional		$2.66	$2.66	$3.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.64 / $4.26	Facility		$3.64	$3.64	$4.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $6.08 / $8.69	Facility		$2.65	$6.08	$8.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $3.80 / $4.30	Professional		$2.65	$3.80	$4.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $2.65 / $2.66	Facility		$1.25	$2.65	$2.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $5.32 / $5.32	Professional		$0.80	$5.32	$5.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $2.65 / $7.96	Facility		$1.25	$2.65	$7.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $5.32	Professional		$2.65	$2.65	$5.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $65.00 / $85.00	Professional		$2.52	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $2.65 / $2.66	Facility		$1.25	$2.65	$2.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $5.32 / $5.32	Professional		$0.80	$5.32	$5.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $3.14 / $8.00	Professional		$2.65	$3.14	$8.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.65 / $100.00	Facility		$2.65	$2.65	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $2.65	Professional		$2.65	$2.65	$2.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $3.73 / $3.79	Professional		$2.60	$3.73	$3.79
United Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $2.66 / $3.72	Professional		$2.66	$2.66	$3.72