Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $65.09 / $223.90	Facility		$2.10	$65.09	$223.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.28 / $3.93	Professional		$0.11	$0.28	$3.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.14 / $0.14	Facility		$0.14	$0.14	$0.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.17	Professional		$0.11	$0.11	$0.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.18	Facility		$0.15	$0.15	$0.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.27 / $0.38	Facility		$0.11	$0.27	$0.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.21 / $0.28	Professional		$0.19	$0.21	$0.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.17 / $0.71	Facility		$0.11	$0.17	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.26	Professional		$0.22	$0.22	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $6.44 / $15.96	Facility		$0.33	$6.44	$15.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.26	Professional		$0.17	$0.17	$0.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $65.00 / $85.00	Professional		$0.21	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.17 / $0.71	Facility		$0.11	$0.17	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.26	Professional		$0.22	$0.22	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.22 / $1.00	Professional		$0.11	$0.22	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $100.00	Facility		$0.11	$0.11	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.24	Professional		$0.15	$0.15	$0.24
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.18	Professional		$0.11	$0.11	$0.18