Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $43.87 / $108.48	Facility		$0.11	$43.87	$108.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.13 / $9.43	Professional		$0.10	$0.13	$9.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.13 / $0.13	Facility		$0.13	$0.13	$0.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.12	Professional		$0.10	$0.10	$0.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.13 / $0.16	Facility		$0.13	$0.13	$0.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.27 / $0.38	Facility		$0.10	$0.27	$0.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.14	Professional		$0.11	$0.12	$0.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $0.71	Facility		$0.07	$0.07	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.20 / $0.20	Professional		$0.11	$0.20	$0.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.52 / $1.70	Facility		$0.07	$0.52	$1.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.20	Professional		$0.07	$0.07	$0.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $65.00 / $85.00	Professional		$0.11	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $0.71	Facility		$0.07	$0.07	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.20 / $0.20	Professional		$0.11	$0.20	$0.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.15 / $1.00	Professional		$0.10	$0.15	$1.00
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 $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.14 / $0.14	Professional		$0.08	$0.14	$0.14
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.16	Professional		$0.10	$0.10	$0.16