Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $96.19 / $309.92	Facility		$2.13	$96.19	$309.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $1.34 / $3.52	Professional		$0.65	$1.34	$3.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $0.81 / $0.81	Facility		$0.81	$0.81	$0.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.82	Professional		$0.65	$0.65	$0.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $0.89 / $1.04	Facility		$0.89	$0.89	$1.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $1.61 / $2.29	Facility		$0.65	$1.61	$2.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $1.05 / $1.19	Professional		$0.65	$1.05	$1.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $0.71 / $1.42	Facility		$0.65	$0.71	$1.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $1.30 / $1.30	Professional		$0.26	$1.30	$1.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $21.78 / $88.12	Facility		$3.73	$21.78	$88.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.71 / $1.30	Professional		$0.71	$0.71	$1.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $65.00 / $85.00	Professional		$0.62	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $0.71 / $1.42	Facility		$0.65	$0.71	$1.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $1.30 / $1.30	Professional		$0.26	$1.30	$1.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.96 / $2.00	Professional		$0.65	$0.96	$2.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $0.65 / $100.00	Facility		$0.65	$0.65	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.65	Professional		$0.65	$0.65	$0.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.91 / $1.01	Professional		$0.79	$0.91	$1.01
United Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.91	Professional		$0.65	$0.65	$0.91