Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $37.78 / $87.75	Facility		$1.79	$37.78	$87.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $1.37 / $5.28	Professional		$0.09	$1.37	$5.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.13 / $0.14	Professional		$0.09	$0.13	$0.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.14	Facility		$0.12	$0.12	$0.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.18 / $0.82	Facility		$0.10	$0.18	$0.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.15 / $0.82	Professional		$0.08	$0.15	$0.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.71	Facility		$0.09	$0.09	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.18 / $0.26	Professional		$0.14	$0.18	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $8.03 / $13.95	Facility		$0.42	$8.03	$13.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.14 / $1.43	Professional		$0.09	$0.14	$1.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $65.00 / $85.00	Professional		$0.09	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.71	Facility		$0.09	$0.09	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.18 / $0.26	Professional		$0.14	$0.18	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.13 / $1.00	Professional		$0.09	$0.13	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.82 / $0.82 / $100.00	Facility		$0.82	$0.82	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.82 / $0.82	Professional		$0.82	$0.82	$0.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.21	Professional		$0.13	$0.13	$0.21
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.10 / $1.43	Professional		$0.09	$0.10	$1.43