Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $63.26 / $121.21	Facility		$8.17	$63.26	$121.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.06 / $7.30	Professional		$0.05	$0.06	$7.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.06 / $0.06	Facility		$0.06	$0.06	$0.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.06	Professional		$0.05	$0.05	$0.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $0.08	Facility		$0.07	$0.07	$0.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.18 / $0.26	Facility		$0.05	$0.18	$0.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.12 / $0.14	Professional		$0.04	$0.12	$0.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.06 / $0.71	Facility		$0.05	$0.06	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.10 / $0.26	Professional		$0.09	$0.10	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.39 / $0.95	Facility		$0.15	$0.39	$0.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.10	Professional		$0.06	$0.06	$0.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $65.00 / $85.00	Professional		$0.06	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.06 / $0.71	Facility		$0.05	$0.06	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.10 / $0.26	Professional		$0.09	$0.10	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.08 / $1.00	Professional		$0.04	$0.08	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $100.00	Facility		$0.05	$0.05	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.15	Professional		$0.07	$0.07	$0.15
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.08	Professional		$0.05	$0.05	$0.08