Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $3.86 / $3.86	Facility		$1.39	$3.86	$3.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.37 / $1.62	Professional		$1.35	$1.37	$1.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.09	Professional		$1.35	$1.35	$2.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $2.00 / $2.16	Facility		$1.85	$2.00	$2.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $6.95 / $10.66	Facility		$1.35	$6.95	$10.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.35 / $1.88	Professional		$1.27	$1.35	$1.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.39 / $2.02	Facility		$0.99	$1.39	$2.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.68 / $2.42	Facility		$0.99	$1.68	$2.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $1.68 / $610.54	Professional		$1.68	$1.68	$610.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $58.40 / $85.00	Professional		$1.35	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.39 / $2.02	Facility		$0.99	$1.39	$2.02
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $2.16 / $6.00	Professional		$1.35	$2.16	$6.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $3.41 / $610.54	Professional		$1.35	$3.41	$610.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $1.68 / $1.68	Professional		$1.68	$1.68	$1.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.90 / $2.24	Professional		$1.30	$1.90	$2.24
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.76	Professional		$1.35	$1.35	$1.76