Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $8.42 / $11.22	Facility		$3.74	$8.42	$11.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.74 / $11.50	Professional		$3.62	$3.74	$11.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $6.72 / $8.09	Facility		$4.54	$6.72	$8.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $5.62	Professional		$3.63	$3.63	$5.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $4.97 / $5.81	Facility		$4.97	$4.97	$5.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $23.23 / $33.21	Facility		$3.63	$23.23	$33.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $17.69 / $20.10	Professional		$8.59	$17.69	$20.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $5.61 / $7.85	Facility		$3.63	$5.61	$7.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $7.26 / $8.42	Professional		$7.26	$7.26	$8.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $5.61 / $12.13	Facility		$5.61	$5.61	$12.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $5.61 / $8.42	Professional		$5.61	$5.61	$8.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $8.43 / $85.00	Professional		$3.63	$8.43	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $5.61 / $7.85	Facility		$3.63	$5.61	$7.85
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $7.26 / $8.42	Professional		$7.26	$7.26	$8.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $10.07 / $30.80	Professional		$3.63	$10.07	$30.80
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 $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $5.45	Professional		$3.63	$3.63	$5.45