Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $2.61 / $3.08	Facility		$1.38	$2.61	$3.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.44 / $3.04	Professional		$1.40	$1.44	$3.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $2.59 / $3.12	Facility		$1.75	$2.59	$3.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $1.77	Professional		$1.40	$1.40	$1.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.92 / $1.92 / $2.24	Facility		$1.92	$1.92	$2.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $3.40 / $4.84	Facility		$1.40	$3.40	$4.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $2.06 / $2.34	Professional		$1.40	$2.06	$2.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $1.34 / $1.40	Facility		$0.72	$1.34	$1.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $2.80 / $2.80	Professional		$0.54	$2.80	$2.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $1.33 / $1.34	Facility		$0.72	$1.33	$1.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.34 / $2.80	Professional		$1.34	$1.34	$2.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $65.00 / $85.00	Professional		$1.38	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $1.34 / $1.40	Facility		$0.72	$1.34	$1.40
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $2.80 / $2.80	Professional		$0.54	$2.80	$2.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.57 / $4.00	Professional		$1.40	$1.57	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $1.40	Professional		$1.40	$1.40	$1.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.97 / $1.97	Professional		$1.43	$1.97	$1.97
United Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $2.09	Professional		$1.40	$1.40	$2.09