Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $3.90 / $54.32	Facility		$1.34	$3.90	$54.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $0.97 / $42.88	Professional		$0.94	$0.97	$42.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $1.18 / $1.18	Facility		$1.18	$1.18	$1.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $0.94 / $1.35	Professional		$0.94	$0.94	$1.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $1.41 / $1.93	Facility		$0.94	$1.41	$1.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.08 / $2.18	Professional		$0.94	$1.08	$2.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $1.82 / $3.79	Facility		$0.94	$1.82	$3.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.28 / $1.95	Professional		$0.94	$1.28	$1.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $0.98 / $2.97	Facility		$0.68	$0.98	$2.97
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $1.88 / $1.95	Professional		$0.26	$1.88	$1.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $1.30 / $2.86	Facility		$0.68	$1.30	$2.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.69 / $67.27	Professional		$1.30	$1.69	$67.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.98 / $2.97	Facility		$0.66	$0.98	$2.97
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $1.88 / $1.95	Professional		$0.26	$1.88	$1.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.18 / $3.00	Professional		$0.94	$1.18	$3.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $0.94 / $132.18	Facility		$0.94	$0.94	$132.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.87 / $67.27	Professional		$0.94	$1.87	$67.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.32 / $1.32	Professional		$0.87	$1.32	$1.32
United Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $0.99 / $3.85	Professional		$0.94	$0.99	$3.85