Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $50.50 / $102.09	Facility		$5.26	$50.50	$102.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.60 / $1.81	Professional		$0.59	$0.60	$1.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.74 / $0.74	Facility		$0.74	$0.74	$0.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.59 / $0.74	Professional		$0.59	$0.59	$0.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $0.81 / $0.94	Facility		$0.81	$0.81	$0.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $1.34 / $1.92	Facility		$0.59	$1.34	$1.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $1.06 / $1.20	Professional		$0.54	$1.06	$1.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.56 / $6.28	Facility		$0.56	$0.56	$6.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $1.18 / $4.01	Professional		$0.86	$1.18	$4.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $10.42 / $18.78	Facility		$0.56	$10.42	$18.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $1.18	Professional		$0.56	$0.56	$1.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $65.00 / $85.00	Professional		$0.52	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.56 / $6.28	Facility		$0.56	$0.56	$6.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $1.18 / $4.01	Professional		$0.86	$1.18	$4.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $0.80 / $2.00	Professional		$0.57	$0.80	$2.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.59 / $240.62	Facility		$0.59	$0.59	$240.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.59 / $0.59	Professional		$0.59	$0.59	$0.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $1.21	Professional		$0.83	$0.83	$1.21
United Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.12 / $1.22	Facility		$1.12	$1.12	$1.22
United Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.59 / $0.89	Professional		$0.59	$0.59	$0.89