Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $83.43 / $226.06	Facility		$0.17	$83.43	$226.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $86.83	Professional		$0.14	$0.14	$86.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.18 / $0.18	Facility		$0.18	$0.18	$0.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.20 / $0.21	Professional		$0.14	$0.20	$0.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.17 / $0.26	Facility		$0.11	$0.17	$0.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $0.33	Professional		$0.11	$0.14	$0.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.18 / $0.31	Facility		$0.14	$0.18	$0.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.14 / $0.21	Professional		$0.12	$0.14	$0.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.14 / $0.55	Facility		$0.11	$0.14	$0.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.28 / $0.28	Professional		$0.17	$0.28	$0.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.69	Facility		$0.11	$0.11	$0.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $85.90	Professional		$0.11	$0.14	$85.90
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 $0.11 / $0.14 / $0.55	Facility		$0.11	$0.14	$0.55
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.28 / $0.28	Professional		$0.17	$0.28	$0.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.26 / $1.00	Professional		$0.14	$0.26	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.14 / $85.00	Facility		$0.14	$0.14	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.34 / $85.90	Professional		$0.14	$0.34	$85.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.20 / $0.23	Professional		$0.17	$0.20	$0.23
United Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $0.55 / $0.55	Facility		$0.55	$0.55	$0.55
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $1.27	Professional		$0.14	$0.15	$1.27