Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $7.98 / $9.39	Facility		$4.21	$7.98	$9.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.23 / $9.17	Professional		$4.09	$4.23	$9.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $7.59 / $9.14	Facility		$5.13	$7.59	$9.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $5.20	Professional		$4.09	$4.09	$5.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $6.56	Facility		$5.62	$5.62	$6.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $9.38 / $13.41	Facility		$4.09	$9.38	$13.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $6.04 / $6.86	Professional		$4.01	$6.04	$6.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.09 / $9.27	Facility		$3.31	$4.09	$9.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $8.19 / $8.19	Professional		$1.34	$8.19	$8.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.09 / $9.27	Facility		$3.31	$4.09	$9.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $8.19	Professional		$4.09	$4.09	$8.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $65.00 / $85.00	Professional		$3.94	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.09 / $9.27	Facility		$3.31	$4.09	$9.27
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $8.19 / $8.19	Professional		$1.34	$8.19	$8.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.71 / $12.00	Professional		$4.09	$4.71	$12.00
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 $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.76 / $5.89	Professional		$4.37	$5.76	$5.89
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $5.35	Professional		$4.09	$4.09	$5.35