Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $3.18 / $3.63	Facility		$2.18	$3.18	$3.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.13 / $2.45	Professional		$2.11	$2.13	$2.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $2.64 / $2.64	Facility		$2.64	$2.64	$2.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $2.84	Professional		$2.11	$2.11	$2.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $3.80 / $3.86	Facility		$3.38	$3.80	$3.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.63 / $4.51	Facility		$2.11	$2.63	$4.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.11 / $2.71	Professional		$1.70	$2.11	$2.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $2.11 / $5.07	Facility		$1.30	$2.11	$5.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $4.22 / $8.02	Professional		$2.39	$4.22	$8.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.59 / $5.07	Facility		$1.28	$1.59	$5.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.77 / $411.09	Professional		$1.59	$1.77	$411.09
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 $1.28 / $2.11 / $5.07	Facility		$1.28	$2.11	$5.07
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $4.22 / $8.02	Professional		$2.39	$4.22	$8.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.50 / $5.00	Professional		$2.11	$2.50	$5.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.11 / $100.00	Facility		$2.11	$2.11	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $3.00 / $411.09	Professional		$2.11	$3.00	$411.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.96 / $2.96	Professional		$1.48	$2.96	$2.96
United Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.23 / $2.68	Professional		$2.11	$2.23	$2.68