Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $167.45 / $337.50	Facility		$63.75	$167.45	$337.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $83.41 / $170.00	Professional		$1.70	$83.41	$170.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.42	Professional		$0.28	$0.28	$0.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.38 / $0.45	Facility		$0.36	$0.38	$0.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.63 / $0.89	Facility		$0.27	$0.63	$0.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.57 / $0.66	Professional		$0.27	$0.57	$0.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.28 / $0.33	Facility		$0.26	$0.28	$0.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $1.14 / $2.79	Facility		$0.27	$1.14	$2.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.70	Professional		$0.26	$0.26	$0.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $65.00 / $85.00	Professional		$0.26	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.28 / $0.71	Facility		$0.26	$0.28	$0.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.36 / $1.08	Professional		$0.28	$0.36	$1.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.51 / $1.64	Professional		$0.27	$0.51	$1.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.54	Professional		$0.39	$0.39	$0.54
United Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.45	Professional		$0.28	$0.28	$0.45