Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $3.92 / $7.91	Facility		$2.94	$3.92	$7.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $7.68 / $8.44	Professional		$7.67	$7.68	$8.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $9.60	Facility		$9.60	$9.60	$9.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $10.36	Professional		$7.68	$7.68	$10.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $13.82 / $14.07	Facility		$12.29	$13.82	$14.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $11.53 / $21.09	Facility		$7.68	$11.53	$21.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $8.39 / $14.58	Professional		$7.12	$8.39	$14.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $7.76 / $78.44	Facility		$1.96	$7.76	$78.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $15.36 / $15.36	Professional		$2.94	$15.36	$15.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $2.00 / $77.84	Facility		$1.96	$2.00	$77.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.54 / $397.52	Professional		$1.96	$2.54	$397.52
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 $1.96 / $7.76 / $78.75	Facility		$1.96	$7.76	$78.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $15.36 / $15.36	Professional		$2.94	$15.36	$15.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $10.21 / $20.00	Professional		$7.68	$10.21	$20.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $85.00 / $974.99	Facility		$7.68	$85.00	$974.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $21.93 / $397.52	Professional		$7.68	$21.93	$397.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.78 / $13.08	Professional		$10.34	$10.78	$13.08
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $8.06 / $25.75	Professional		$7.68	$8.06	$25.75