Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $85.60 / $199.01	Facility		$0.10	$85.60	$199.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.09	Professional		$0.06	$0.06	$0.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Facility		$0.08	$0.08	$0.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.07	Professional		$0.06	$0.06	$0.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.10	Facility		$0.08	$0.08	$0.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.09 / $0.13	Facility		$0.05	$0.09	$0.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.08 / $0.09	Professional		$0.04	$0.08	$0.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.71	Facility		$0.05	$0.05	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.12 / $0.12	Professional		$0.08	$0.12	$0.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.51 / $1.45	Facility		$0.10	$0.51	$1.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.12	Professional		$0.05	$0.05	$0.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $50.00 / $85.00	Professional		$0.05	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.71	Facility		$0.05	$0.05	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.12 / $0.12	Professional		$0.08	$0.12	$0.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.36 / $1.08	Professional		$0.05	$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 $0.06 / $0.06 / $0.06	Professional		$0.06	$0.06	$0.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.86	Professional		$0.08	$0.08	$0.86
United Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.09	Professional		$0.06	$0.06	$0.09