Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $5.20 / $80.05	Facility		$2.90	$5.20	$80.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.90 / $3.88	Professional		$2.82	$2.90	$3.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $3.53 / $3.53	Facility		$3.53	$3.53	$3.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.22 / $5.07	Professional		$2.82	$4.22	$5.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $5.08 / $5.17	Facility		$4.51	$5.08	$5.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $5.45 / $9.44	Facility		$2.82	$5.45	$9.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $3.28 / $5.95	Professional		$2.70	$3.28	$5.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.82 / $7.02	Facility		$2.25	$2.82	$7.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $5.64 / $5.64	Professional		$1.87	$5.64	$5.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.31 / $8.73	Facility		$2.25	$2.31	$8.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.52 / $40.61	Professional		$2.25	$2.52	$40.61
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 $2.25 / $2.82 / $8.73	Facility		$2.25	$2.82	$8.73
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $5.64 / $5.64	Professional		$1.87	$5.64	$5.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.01 / $10.00	Professional		$2.82	$4.01	$10.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $100.00	Facility		$2.82	$2.82	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $6.20 / $40.61	Professional		$2.82	$6.20	$40.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $3.96 / $4.68	Professional		$3.15	$3.96	$4.68
United Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $2.82 / $3.55	Professional		$2.71	$2.82	$3.55