Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.62 / $287.67	Facility		$0.26	$0.62	$287.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $3.09	Professional		$0.26	$0.26	$3.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $0.33	Facility		$0.33	$0.33	$0.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.33	Professional		$0.26	$0.26	$0.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.36 / $0.42	Facility		$0.36	$0.36	$0.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.71 / $1.02	Facility		$0.26	$0.71	$1.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $1.19 / $1.35	Professional		$0.26	$1.19	$1.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.31 / $0.99	Facility		$0.26	$0.31	$0.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.52 / $1.07	Professional		$0.47	$0.52	$1.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $0.99	Facility		$0.31	$0.31	$0.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $0.52	Professional		$0.31	$0.31	$0.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $65.00 / $85.00	Professional		$0.28	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.31 / $0.99	Facility		$0.26	$0.31	$0.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.52 / $1.07	Professional		$0.47	$0.52	$1.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.40 / $1.13	Professional		$0.25	$0.40	$1.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.26 / $100.00	Facility		$0.26	$0.26	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.37 / $1.63	Professional		$0.37	$0.37	$1.63
United Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.39	Professional		$0.26	$0.26	$0.39