Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $70.89 / $136.41	Facility		$6.43	$70.89	$136.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $17.44	Professional		$0.09	$0.09	$17.44
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 / $0.09 / $0.11	Professional		$0.09	$0.09	$0.11
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 $0.09 / $0.18 / $0.26	Facility		$0.09	$0.18	$0.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.14 / $0.23	Professional		$0.08	$0.14	$0.23
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 / $0.18	Professional		$0.14	$0.18	$0.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.98 / $2.63	Facility		$0.45	$0.98	$2.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.18	Professional		$0.09	$0.09	$0.18
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 / $0.18	Professional		$0.14	$0.18	$0.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.14 / $1.00	Professional		$0.08	$0.14	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $85.00	Facility		$0.09	$0.09	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.13 / $0.18	Professional		$0.12	$0.13	$0.18
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.14	Professional		$0.09	$0.09	$0.14