Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $42.61 / $84.47	Facility		$3.90	$42.61	$84.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $1.84 / $7.04	Professional		$0.21	$1.84	$7.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.12	Professional		$0.09	$0.09	$0.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.14	Facility		$0.12	$0.12	$0.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.27 / $0.38	Facility		$0.09	$0.27	$0.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.19 / $0.21	Professional		$0.11	$0.19	$0.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.12 / $0.71	Facility		$0.09	$0.12	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.26	Professional		$0.18	$0.18	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $3.45 / $6.97	Facility		$0.48	$3.45	$6.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.18	Professional		$0.12	$0.12	$0.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $65.00 / $85.00	Professional		$0.09	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.12 / $0.71	Facility		$0.09	$0.12	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.26	Professional		$0.18	$0.18	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.15 / $1.00	Professional		$0.09	$0.15	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $100.00	Facility		$0.09	$0.09	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.21	Professional		$0.13	$0.13	$0.21
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.14	Professional		$0.09	$0.09	$0.14