Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $36.68 / $90.00	Facility		$2.94	$36.68	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $2.56 / $15.20	Professional		$0.41	$2.56	$15.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.56 / $0.67	Facility		$0.38	$0.56	$0.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.38	Professional		$0.30	$0.30	$0.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.41 / $0.48	Facility		$0.41	$0.41	$0.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $1.61 / $2.29	Facility		$0.30	$1.61	$2.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $0.76 / $0.86	Professional		$0.53	$0.76	$0.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.35 / $0.71	Facility		$0.30	$0.35	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.60 / $0.60	Professional		$0.26	$0.60	$0.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $19.84 / $55.98	Facility		$1.96	$19.84	$55.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $0.60	Professional		$0.35	$0.35	$0.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $65.00 / $85.00	Professional		$0.50	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.35 / $0.71	Facility		$0.30	$0.35	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.60 / $0.60	Professional		$0.26	$0.60	$0.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.57 / $2.00	Professional		$0.30	$0.57	$2.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.30 / $100.00	Facility		$0.30	$0.30	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.30	Professional		$0.30	$0.30	$0.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.42 / $1.12	Professional		$0.42	$0.42	$1.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.48	Professional		$0.30	$0.30	$0.48