Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.04 / $870.71	Facility		$0.02	$0.04	$870.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Professional		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.90	Professional		$0.02	$0.02	$0.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $48,999.51	Facility		$0.12	$0.12	$48,999.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.06	Professional		$0.02	$0.02	$0.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $1.72	Professional		$0.02	$0.02	$1.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $65.00 / $85.00	Facility		$0.03	$65.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.35 / $1.72	Professional		$0.02	$0.35	$1.72
Security Health Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Facility		$0.09	$0.09	$0.09
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03