Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $1.53 / $110.58	Facility		$0.44	$1.53	$110.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.44 / $0.88	Professional		$0.43	$0.44	$0.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $0.54 / $0.54	Facility		$0.54	$0.54	$0.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.43 / $0.66	Professional		$0.43	$0.43	$0.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.57 / $0.57 / $0.69	Facility		$0.57	$0.57	$0.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $0.89 / $1.28	Facility		$0.43	$0.89	$1.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $1.11 / $1.26	Professional		$0.35	$1.11	$1.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $0.51 / $0.71	Facility		$0.43	$0.51	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.86 / $0.86	Professional		$0.26	$0.86	$0.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $0.51 / $3.65	Facility		$0.51	$0.51	$3.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $0.51 / $0.86	Professional		$0.51	$0.51	$0.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $55.00 / $85.00	Professional		$0.33	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $0.51 / $0.71	Facility		$0.43	$0.51	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.86 / $0.86	Professional		$0.26	$0.86	$0.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.51 / $1.13	Professional		$0.42	$0.51	$1.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $204.71 / $204.71 / $204.71	Facility		$204.71	$204.71	$204.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.43 / $0.43	Professional		$0.43	$0.43	$0.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $1.49	Professional		$0.60	$0.60	$1.49
United Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.43 / $0.61	Professional		$0.43	$0.43	$0.61