Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $8.72 / $10.01	Facility		$4.58	$8.72	$10.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.58 / $7.49	Professional		$4.45	$4.58	$7.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $8.23 / $9.92	Facility		$5.56	$8.23	$9.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $6.00	Professional		$4.45	$4.45	$6.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.12 / $8.01 / $8.16	Facility		$7.12	$8.01	$8.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $6.38 / $11.67	Facility		$4.45	$6.38	$11.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $5.53 / $8.23	Professional		$4.45	$5.53	$8.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.45 / $6.33	Facility		$4.05	$4.45	$6.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $8.90 / $8.90	Professional		$6.54	$8.90	$8.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.36 / $5.99	Facility		$4.05	$4.36	$5.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.84 / $1,033.47	Professional		$4.36	$4.84	$1,033.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $4.45 / $5.80	Facility		$3.97	$4.45	$5.80
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $8.90 / $8.90	Professional		$6.54	$8.90	$8.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $6.75 / $13.00	Professional		$4.45	$6.75	$13.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $4.45 / $100.00	Facility		$4.45	$4.45	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $7.88 / $1,033.47	Professional		$4.45	$7.88	$1,033.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $6.25 / $6.36	Professional		$4.76	$6.25	$6.36
United Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.72 / $5.30	Professional		$4.45	$4.72	$5.30