Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $53.65 / $100.56	Facility		$5.64	$53.65	$100.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $6.03 / $29.75	Professional		$1.27	$6.03	$29.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.05 / $1.05	Facility		$1.05	$1.05	$1.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.84 / $1.06	Professional		$0.84	$0.84	$1.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $1.14 / $1.34	Facility		$1.14	$1.14	$1.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $2.23 / $3.19	Facility		$0.84	$2.23	$3.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $1.49 / $1.69	Professional		$0.90	$1.49	$1.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $0.86 / $1.66	Facility		$0.84	$0.86	$1.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.68 / $1.68	Professional		$1.07	$1.68	$1.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $9.35 / $18.36	Facility		$1.55	$9.35	$18.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $0.86 / $1.68	Professional		$0.86	$0.86	$1.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $65.00 / $85.00	Professional		$0.87	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $0.86 / $1.66	Facility		$0.84	$0.86	$1.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.68 / $1.68	Professional		$1.07	$1.68	$1.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $1.32 / $3.30	Professional		$0.84	$1.32	$3.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.84 / $0.84	Professional		$0.84	$0.84	$0.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.18 / $2.68	Professional		$1.18	$1.18	$2.68
United Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.84 / $1.76	Professional		$0.84	$0.84	$1.76