Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.05 / $74.34 / $172.22	Facility		$7.05	$74.34	$172.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $0.86 / $1.41	Professional		$0.86	$0.86	$1.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.90 / $2.14	Professional		$0.68	$0.90	$2.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $0.85 / $0.92	Facility		$0.85	$0.85	$0.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $0.90 / $1.28	Facility		$0.49	$0.90	$1.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $1.11 / $1.26	Professional		$0.39	$1.11	$1.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.86 / $1.42	Facility		$0.66	$0.86	$1.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $5.89 / $16.64	Facility		$0.84	$5.89	$16.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $1.35	Professional		$0.90	$0.90	$1.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $55.00 / $85.00	Professional		$2.36	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.86 / $1.42	Facility		$0.66	$0.86	$1.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $1.53 / $2.20	Professional		$0.72	$1.53	$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 $0.92 / $0.92 / $0.92	Professional		$0.92	$0.92	$0.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.49 / $2.16	Professional		$1.18	$1.49	$2.16
United Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $1.44	Professional		$0.90	$0.90	$1.44