Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $12.93 / $99.53	Facility		$0.56	$12.93	$99.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.56 / $2.41	Professional		$0.55	$0.56	$2.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $0.69 / $0.69	Facility		$0.69	$0.69	$0.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.55 / $0.69	Professional		$0.55	$0.55	$0.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $0.75 / $0.88	Facility		$0.75	$0.75	$0.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $1.88 / $2.68	Facility		$0.55	$1.88	$2.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1.57 / $1.79	Professional		$0.60	$1.57	$1.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $0.49 / $1.42	Facility		$0.49	$0.49	$1.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $1.10 / $1.60	Professional		$0.74	$1.10	$1.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $1.42 / $39.74	Facility		$0.49	$1.42	$39.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.49 / $1.10	Professional		$0.49	$0.49	$1.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $65.00 / $85.00	Professional		$0.60	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $0.49 / $1.42	Facility		$0.49	$0.49	$1.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $1.10 / $1.60	Professional		$0.74	$1.10	$1.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.86 / $2.20	Professional		$0.55	$0.86	$2.20
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 $0.55 / $0.55 / $0.55	Professional		$0.55	$0.55	$0.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.77 / $1.58	Professional		$0.77	$0.77	$1.58
United Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.55 / $0.83	Professional		$0.55	$0.55	$0.83