Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.06 / $27.72	Facility		$0.03	$0.06	$27.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $7.50 / $30.60	Professional		$0.03	$7.50	$30.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Facility		$0.04	$0.04	$0.04
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 / $0.04 / $0.05	Professional		$0.04	$0.04	$0.05
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 / $0.06	Professional		$0.05	$0.06	$0.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.24 / $99.77	Facility		$0.03	$0.24	$99.77
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 / $0.06	Professional		$0.05	$0.06	$0.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.05 / $1.00	Professional		$0.03	$0.05	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
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 $0.03 / $0.04 / $0.04	Professional		$0.03	$0.04	$0.04
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.05	Professional		$0.03	$0.03	$0.05