Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $42.00 / $715.35	Facility		$0.17	$42.00	$715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $76.98	Professional		$0.10	$0.10	$76.98
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 / $0.13	Professional		$0.10	$0.10	$0.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.13 / $0.17	Facility		$0.10	$0.13	$0.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.25	Professional		$0.10	$0.11	$0.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.28 / $0.51	Facility		$0.10	$0.28	$0.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.14 / $0.25	Professional		$0.10	$0.14	$0.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.11 / $2.98	Facility		$0.10	$0.11	$2.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.20 / $0.20	Professional		$0.17	$0.20	$0.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.12 / $2.98	Facility		$0.11	$0.12	$2.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $306.11	Professional		$0.11	$0.12	$306.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.11 / $2.98	Facility		$0.10	$0.11	$2.98
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.20 / $0.20	Professional		$0.17	$0.20	$0.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.20 / $1.13	Professional		$0.10	$0.20	$1.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $85.00 / $100.00	Facility		$0.10	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.80 / $306.11	Professional		$0.10	$0.80	$306.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $3.33	Professional		$0.14	$0.14	$3.33
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.13	Professional		$0.10	$0.10	$0.13