Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.48 / $10.41 / $12.27	Facility		$5.48	$10.41	$12.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.48 / $11.63	Professional		$5.32	$5.48	$11.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $9.84 / $11.86	Facility		$6.65	$9.84	$11.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $6.75	Professional		$5.32	$5.32	$6.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $7.29 / $8.51	Facility		$7.29	$7.29	$8.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $12.24 / $17.50	Facility		$5.32	$12.24	$17.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $7.70 / $8.75	Professional		$5.32	$7.70	$8.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $5.34 / $11.40	Facility		$3.97	$5.34	$11.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $10.64 / $10.64	Professional		$8.01	$10.64	$10.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $5.34 / $12.13	Facility		$3.97	$5.34	$12.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $10.64	Professional		$5.34	$5.34	$10.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $55.00 / $85.00	Professional		$5.18	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $5.34 / $11.40	Facility		$3.97	$5.34	$11.40
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $10.64 / $10.64	Professional		$8.01	$10.64	$10.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $6.28 / $17.60	Professional		$5.32	$6.28	$17.60
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 $5.32 / $5.32 / $5.32	Professional		$5.32	$5.32	$5.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $7.47 / $7.47	Professional		$5.39	$7.47	$7.47
United Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $7.28	Professional		$5.32	$5.32	$7.28