Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $2.66 / $3.06	Facility		$1.91	$2.66	$3.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.91 / $2.60	Professional		$1.86	$1.91	$2.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $2.33 / $2.33	Facility		$2.33	$2.33	$2.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $2.50	Professional		$1.86	$1.86	$2.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $3.35 / $3.41	Facility		$2.98	$3.35	$3.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.81 / $5.22	Facility		$1.86	$2.81	$5.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.86 / $2.69	Professional		$1.47	$1.86	$2.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.91 / $4.54	Facility		$1.33	$1.91	$4.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.72 / $5.61	Professional		$2.00	$3.72	$5.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.37 / $4.54	Facility		$1.33	$1.37	$4.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.48 / $179.29	Professional		$1.33	$1.48	$179.29
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 $1.33 / $1.91 / $5.09	Facility		$1.33	$1.91	$5.09
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.72 / $5.61	Professional		$2.00	$3.72	$5.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.14 / $5.00	Professional		$1.86	$2.14	$5.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $979.65	Facility		$1.86	$1.86	$979.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $5.09 / $179.29	Professional		$1.86	$5.09	$179.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.61 / $3.32	Professional		$2.35	$2.61	$3.32
United Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $2.35	Professional		$1.86	$1.86	$2.35