Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $4.78 / $5.62	Facility		$2.49	$4.78	$5.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.49 / $5.37	Professional		$2.41	$2.49	$5.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $4.46 / $5.37	Facility		$3.01	$4.46	$5.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $3.06	Professional		$2.41	$2.41	$3.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.30 / $3.86	Facility		$3.30	$3.30	$3.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $5.72 / $8.17	Facility		$2.41	$5.72	$8.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $3.54 / $4.03	Professional		$2.44	$3.54	$4.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $2.41 / $2.45	Facility		$1.37	$2.41	$2.45
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $4.82 / $4.82	Professional		$1.07	$4.82	$4.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $2.45 / $2.45	Facility		$1.37	$2.45	$2.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $4.82	Professional		$2.45	$2.45	$4.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $65.00 / $85.00	Professional		$2.40	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $2.41 / $2.45	Facility		$1.37	$2.41	$2.45
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $4.82 / $4.82	Professional		$1.07	$4.82	$4.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.75 / $7.00	Professional		$2.41	$2.75	$7.00
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 $2.41 / $2.41 / $2.41	Professional		$2.41	$2.41	$2.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.38 / $3.51	Professional		$2.50	$3.38	$3.51
United Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $3.24	Professional		$2.41	$2.41	$3.24