Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $356.94 / $726.02	Facility		$0.44	$356.94	$726.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $110.00 / $260.44	Professional		$0.23	$110.00	$260.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Facility		$0.28	$0.28	$0.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.28	Professional		$0.23	$0.23	$0.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.32 / $0.37	Facility		$0.32	$0.32	$0.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.54 / $0.77	Facility		$0.23	$0.54	$0.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.34 / $0.39	Professional		$0.23	$0.34	$0.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.71	Facility		$0.22	$0.22	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.46 / $0.46	Professional		$0.26	$0.46	$0.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $1.24 / $2.84	Facility		$0.33	$1.24	$2.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.59 / $0.77	Professional		$0.46	$0.59	$0.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $65.00 / $85.00	Professional		$0.24	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.71	Facility		$0.22	$0.22	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.46 / $0.46	Professional		$0.26	$0.46	$0.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.36 / $1.00	Professional		$0.23	$0.36	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $100.00	Facility		$0.23	$0.23	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Professional		$0.23	$0.23	$0.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.32 / $0.37	Professional		$0.28	$0.32	$0.37
United Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.78	Professional		$0.60	$0.60	$0.78