Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $976.82 / $2,643.62	Facility		$0.33	$976.82	$2,643.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.43 / $551.57	Professional		$0.32	$0.43	$551.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.69 / $0.71	Facility		$0.59	$0.69	$0.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.32 / $0.43	Professional		$0.32	$0.32	$0.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.44 / $0.51	Facility		$0.44	$0.44	$0.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.80 / $1.14	Facility		$0.32	$0.80	$1.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.56 / $0.64	Professional		$0.34	$0.56	$0.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $0.99	Facility		$0.31	$0.31	$0.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $3.45	Facility		$0.31	$0.31	$3.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $0.47	Professional		$0.31	$0.31	$0.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.33 / $85.00	Professional		$0.31	$0.33	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $0.99	Facility		$0.31	$0.31	$0.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.51 / $1.13	Professional		$0.32	$0.51	$1.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.32 / $0.32	Professional		$0.32	$0.32	$0.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $1.59	Professional		$0.45	$0.45	$1.59
United Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.32 / $0.32	Facility		$0.32	$0.32	$0.32
United Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.32 / $0.48	Professional		$0.32	$0.32	$0.48