Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $64.67 / $383.50	Facility		$0.03	$64.67	$383.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $61.00	Professional		$0.03	$0.03	$61.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $0.07	Facility		$0.04	$0.04	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $0.05	Facility		$0.04	$0.04	$0.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.09 / $0.13	Facility		$0.03	$0.09	$0.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.07 / $0.08	Professional		$0.04	$0.07	$0.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.71	Facility		$0.03	$0.03	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.06 / $0.26	Professional		$0.05	$0.06	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.71	Facility		$0.03	$0.03	$0.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.06	Professional		$0.03	$0.03	$0.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $65.00 / $85.00	Professional		$0.03	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.71	Facility		$0.03	$0.03	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.06 / $0.26	Professional		$0.05	$0.06	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.76 / $1.10	Professional		$0.03	$0.76	$1.10
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 $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.66	Professional		$0.04	$0.04	$0.66
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.05	Professional		$0.03	$0.03	$0.05