Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $36.99 / $194.88	Facility		$0.69	$36.99	$194.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.57 / $4.11	Professional		$0.56	$0.57	$4.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $0.70 / $0.70	Facility		$0.70	$0.70	$0.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $0.71	Professional		$0.56	$0.56	$0.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $0.77 / $0.90	Facility		$0.77	$0.77	$0.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $0.98 / $1.40	Facility		$0.54	$0.98	$1.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.94 / $1.06	Professional		$0.38	$0.94	$1.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $0.46 / $1.42	Facility		$0.46	$0.46	$1.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $1.12 / $1.12	Professional		$0.69	$1.12	$1.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $4.13 / $6.64	Facility		$0.46	$4.13	$6.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.46 / $1.12	Professional		$0.46	$0.46	$1.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $65.00 / $85.00	Professional		$0.39	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $0.46 / $1.42	Facility		$0.46	$0.46	$1.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $1.12 / $1.12	Professional		$0.69	$1.12	$1.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.59 / $1.13	Professional		$0.55	$0.59	$1.13
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 $0.56 / $0.56 / $0.56	Professional		$0.56	$0.56	$0.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.79 / $1.14	Professional		$0.77	$0.79	$1.14
United Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $0.90	Professional		$0.56	$0.56	$0.90