Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $64.11 / $136.99	Facility		$1.61	$64.11	$136.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $1.29	Professional		$0.72	$0.72	$1.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.75 / $1.06	Professional		$0.34	$0.75	$1.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.42 / $0.46	Facility		$0.42	$0.42	$0.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $0.89 / $1.28	Facility		$0.49	$0.89	$1.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.55 / $0.77	Professional		$0.39	$0.55	$0.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.71 / $0.90	Facility		$0.33	$0.71	$0.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.37 / $2.50 / $9.81	Facility		$0.37	$2.50	$9.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $1.20	Professional		$0.80	$0.80	$1.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $55.00 / $85.00	Professional		$3.01	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.71 / $0.90	Facility		$0.33	$0.71	$0.90
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.76 / $1.10	Professional		$0.36	$0.76	$1.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $0.77 / $100.00	Facility		$0.77	$0.77	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.77 / $0.77	Professional		$0.77	$0.77	$0.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.08 / $1.56	Professional		$0.85	$1.08	$1.56
United Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.75 / $1.12	Professional		$0.75	$0.75	$1.12