Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.03 / $40.93 / $130.61	Facility		$1.03	$40.93	$130.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.37 / $34.40	Professional		$0.35	$0.37	$34.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.45 / $0.45	Facility		$0.45	$0.45	$0.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.48	Professional		$0.36	$0.36	$0.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.49 / $0.67	Facility		$0.36	$0.49	$0.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.41 / $0.82	Professional		$0.36	$0.41	$0.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $1.25 / $2.17	Facility		$0.34	$1.25	$2.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.66 / $1.49	Professional		$0.34	$0.66	$1.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.43 / $36.96	Facility		$0.36	$0.43	$36.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.72 / $11.76	Professional		$0.68	$0.72	$11.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.46 / $35.36	Facility		$0.45	$0.46	$35.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.50 / $514.89	Professional		$0.45	$0.50	$514.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.45 / $58.54	Facility		$0.36	$0.45	$58.54
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.72 / $11.76	Professional		$0.68	$0.72	$11.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $1.49 / $3.14	Professional		$0.36	$1.49	$3.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.34 / $100.00	Facility		$0.34	$0.34	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $3.78 / $514.89	Professional		$0.34	$3.78	$514.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $0.51 / $23.64	Professional		$0.51	$0.51	$23.64
United Facility/Professional Facility Modifier Low / Median / High Price $1.08 / $1.08 / $1.17	Facility		$1.08	$1.08	$1.17
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.45	Professional		$0.36	$0.36	$0.45