Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $4.41 / $5.20	Facility		$2.29	$4.41	$5.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.29 / $6.00	Professional		$2.22	$2.29	$6.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $4.11 / $4.95	Facility		$2.78	$4.11	$4.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $2.81	Professional		$2.22	$2.22	$2.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $3.55	Facility		$3.04	$3.04	$3.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $5.27 / $7.54	Facility		$2.22	$5.27	$7.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $3.25 / $3.69	Professional		$2.22	$3.25	$3.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $2.25 / $4.99	Facility		$2.22	$2.25	$4.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.44 / $4.44	Professional		$3.39	$4.44	$4.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.25 / $4.99	Facility		$2.25	$2.25	$4.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $4.44	Professional		$2.25	$2.25	$4.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $85.00	Professional		$2.14	$2.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $2.25 / $4.99	Facility		$2.22	$2.25	$4.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.44 / $4.44	Professional		$3.39	$4.44	$4.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.75 / $7.70	Professional		$2.22	$2.75	$7.70
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 $2.22 / $2.22 / $2.22	Professional		$2.22	$2.22	$2.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.12 / $3.12	Professional		$3.12	$3.12	$3.12
United Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $3.20	Professional		$2.22	$2.22	$3.20