Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $3.06 / $3.61	Facility		$1.62	$3.06	$3.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.74 / $3.83	Professional		$1.69	$1.74	$3.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $3.13 / $3.77	Facility		$2.11	$3.13	$3.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.14	Professional		$1.69	$1.69	$2.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.31 / $2.70	Facility		$2.31	$2.31	$2.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $4.11 / $5.88	Facility		$1.69	$4.11	$5.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $2.42 / $2.75	Professional		$1.69	$2.42	$2.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.57 / $3.57	Facility		$1.32	$1.57	$3.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $3.38 / $3.38	Professional		$2.36	$3.38	$3.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.57 / $3.57	Facility		$1.32	$1.57	$3.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $3.30	Professional		$1.57	$1.57	$3.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $65.00 / $85.00	Professional		$1.63	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.57 / $3.57	Facility		$1.32	$1.57	$3.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $3.38 / $3.38	Professional		$2.36	$3.38	$3.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.96 / $5.00	Professional		$1.69	$1.96	$5.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $1.69	Professional		$1.69	$1.69	$1.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $2.37 / $2.37	Professional		$1.64	$2.37	$2.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.22	Professional		$1.69	$1.69	$2.22