Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.51 / $949.47	Facility		$0.23	$0.51	$949.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.43	Professional		$0.19	$0.19	$0.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Facility		$0.24	$0.24	$0.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.28 / $0.30	Professional		$0.19	$0.28	$0.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.26 / $0.35	Facility		$0.19	$0.26	$0.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.22 / $0.43	Professional		$0.19	$0.22	$0.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.59 / $1.02	Facility		$0.18	$0.59	$1.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.28 / $0.68	Professional		$0.18	$0.28	$0.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.23 / $1.98	Facility		$0.19	$0.23	$1.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.38 / $3.21	Professional		$0.35	$0.38	$3.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $1.98	Facility		$0.23	$0.23	$1.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.30 / $155.58	Professional		$0.23	$0.30	$155.58
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 $0.19 / $0.23 / $1.98	Facility		$0.19	$0.23	$1.98
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.38 / $3.21	Professional		$0.35	$0.38	$3.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.39 / $1.00	Professional		$0.18	$0.39	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.18 / $360.42	Facility		$0.18	$0.18	$360.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.92 / $155.58	Professional		$0.18	$0.92	$155.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.61	Professional		$0.27	$0.27	$0.61
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.20 / $4.12	Professional		$0.19	$0.20	$4.12