Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $2.46 / $5.84	Facility		$2.46	$2.46	$5.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $2.46 / $3.08	Professional		$2.46	$2.46	$3.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $3.03 / $3.14	Facility		$2.61	$3.03	$3.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.72 / $8.53	Professional		$2.57	$2.72	$8.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $3.57 / $5.11	Facility		$1.97	$3.57	$5.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $4.46 / $5.05	Professional		$1.55	$4.46	$5.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $2.98 / $5.70	Facility		$2.46	$2.98	$5.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $2.41	Professional		$2.41	$2.41	$2.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $3.28 / $6.74	Facility		$2.62	$3.28	$6.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $3.86	Professional		$2.57	$2.57	$3.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $55.00 / $85.00	Professional		$1.41	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $2.98 / $5.70	Facility		$2.46	$2.98	$5.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $2.41	Professional		$2.41	$2.41	$2.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $6.10 / $8.80	Professional		$2.88	$6.10	$8.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $2.62 / $2.62	Professional		$2.62	$2.62	$2.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $2.85 / $5.21	Professional		$2.85	$2.85	$5.21
United Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $16.51 / $17.97	Facility		$16.51	$16.51	$17.97
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $4.11	Professional		$2.57	$2.57	$4.11