Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $29.76 / $96.86	Facility		$1.28	$29.76	$96.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.27 / $1.70	Professional		$0.15	$0.27	$1.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.19 / $0.19	Facility		$0.19	$0.19	$0.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.19	Professional		$0.15	$0.15	$0.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.21 / $0.24	Facility		$0.21	$0.21	$0.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.27 / $0.38	Facility		$0.15	$0.27	$0.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.22 / $0.25	Professional		$0.12	$0.22	$0.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.16 / $0.71	Facility		$0.15	$0.16	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.30 / $0.30	Professional		$0.24	$0.30	$0.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $16.27 / $38.10	Facility		$1.09	$16.27	$38.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.16 / $0.30	Professional		$0.16	$0.16	$0.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $65.00 / $85.00	Professional		$0.13	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.16 / $0.71	Facility		$0.15	$0.16	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.30 / $0.30	Professional		$0.24	$0.30	$0.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.24 / $1.00	Professional		$0.15	$0.24	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $100.00	Facility		$0.15	$0.15	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.21 / $0.21	Professional		$0.16	$0.21	$0.21
United Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.23	Professional		$0.15	$0.15	$0.23