Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $8.93 / $10.53	Facility		$4.59	$8.93	$10.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.59 / $10.51	Professional		$4.46	$4.59	$10.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $8.25 / $9.94	Facility		$5.58	$8.25	$9.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.46 / $5.66	Professional		$4.46	$4.46	$5.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $6.11 / $7.14	Facility		$6.11	$6.11	$7.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $11.08 / $15.84	Facility		$4.46	$11.08	$15.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $6.88 / $7.81	Professional		$4.46	$6.88	$7.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $4.58 / $9.98	Facility		$4.46	$4.58	$9.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $8.92 / $8.92	Professional		$6.87	$8.92	$8.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $4.58 / $9.98	Facility		$4.58	$4.58	$9.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $4.58 / $8.92	Professional		$4.58	$4.58	$8.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $65.00 / $85.00	Professional		$4.32	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $4.58 / $9.98	Facility		$4.46	$4.58	$9.98
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $8.92 / $8.92	Professional		$6.87	$8.92	$8.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.49 / $15.40	Professional		$4.46	$5.49	$15.40
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 $4.46 / $4.46 / $4.46	Professional		$4.46	$4.46	$4.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $6.26 / $6.26	Professional		$6.26	$6.26	$6.26
United Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.46 / $6.08	Professional		$4.46	$4.46	$6.08