Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $55.78 / $130.15	Facility		$4.28	$55.78	$130.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $1.10 / $4.28	Professional		$0.48	$1.10	$4.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Facility		$0.60	$0.60	$0.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.48 / $0.60	Professional		$0.48	$0.48	$0.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.66 / $0.77	Facility		$0.66	$0.66	$0.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $1.15 / $1.66	Facility		$0.48	$1.15	$1.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $1.08 / $1.23	Professional		$0.48	$1.08	$1.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $0.50 / $0.71	Facility		$0.48	$0.50	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.96 / $0.96	Professional		$0.26	$0.96	$0.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $12.84 / $27.30	Facility		$1.83	$12.84	$27.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $0.96	Professional		$0.50	$0.50	$0.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $65.00 / $85.00	Professional		$0.49	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $0.50 / $0.71	Facility		$0.48	$0.50	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.96 / $0.96	Professional		$0.26	$0.96	$0.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.74 / $2.00	Professional		$0.48	$0.74	$2.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $0.48 / $100.00	Facility		$0.48	$0.48	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.48 / $0.48	Professional		$0.48	$0.48	$0.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.67 / $0.94	Professional		$0.67	$0.67	$0.94
United Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.48 / $0.72	Professional		$0.48	$0.48	$0.72