Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $5.83 / $774.70	Facility		$1.81	$5.83	$774.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.81 / $2.97	Professional		$1.76	$1.81	$2.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $2.20 / $2.20	Facility		$2.20	$2.20	$2.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $2.64	Professional		$1.76	$1.76	$2.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $2.60 / $2.82	Facility		$2.41	$2.60	$2.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $3.75 / $5.36	Facility		$1.76	$3.75	$5.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.53 / $2.06	Professional		$1.34	$1.53	$2.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $1.73 / $2.72	Facility		$0.66	$1.73	$2.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $3.52 / $3.52	Professional		$0.26	$3.52	$3.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $3.57 / $730.08	Facility		$1.73	$3.57	$730.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $1.73 / $2.37	Professional		$0.93	$1.73	$2.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $65.00 / $90.00	Professional		$1.63	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $1.73 / $2.72	Facility		$0.66	$1.73	$2.72
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $3.52 / $3.52	Professional		$0.26	$3.52	$3.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.77 / $5.40	Professional		$1.76	$1.77	$5.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $85.00 / $100.00	Facility		$1.63	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $1.76 / $1.76	Professional		$0.93	$1.76	$1.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $2.47 / $2.47	Professional		$0.83	$2.47	$2.47
United Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $1.76 / $2.11	Professional		$0.96	$1.76	$2.11