Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $7.66 / $23.79	Facility		$0.02	$7.66	$23.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.08 / $39.60	Professional		$0.02	$0.08	$39.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.67 / $1.55	Professional		$0.02	$0.67	$1.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.32	Facility		$0.02	$0.02	$0.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.42	Professional		$0.02	$0.02	$0.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.11 / $0.16	Facility		$0.09	$0.11	$0.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.04 / $0.05	Professional		$0.02	$0.04	$0.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.33 / $0.55	Facility		$0.02	$0.33	$0.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.55 / $10.14	Facility		$0.02	$0.55	$10.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $530.00 / $530.00	Professional		$0.02	$530.00	$530.00
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 $0.02 / $0.33 / $0.55	Facility		$0.02	$0.33	$0.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.69 / $1.12	Professional		$0.02	$0.69	$1.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.12 / $530.00	Professional		$0.02	$0.12	$530.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.06	Professional		$0.03	$0.03	$0.06
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $5.15	Professional		$0.02	$0.02	$5.15