Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.44 / $0.87	Facility		$0.31	$0.44	$0.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.31 / $153.12	Professional		$0.28	$0.31	$153.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.65 / $0.67	Facility		$0.56	$0.65	$0.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.46	Professional		$0.30	$0.30	$0.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.41 / $0.48	Facility		$0.41	$0.41	$0.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.63 / $0.89	Facility		$0.30	$0.63	$0.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.45 / $0.51	Professional		$0.30	$0.45	$0.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.71	Facility		$0.28	$0.28	$0.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.71	Facility		$0.28	$0.28	$0.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.32 / $0.43	Professional		$0.28	$0.32	$0.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.30 / $85.00	Professional		$0.28	$0.30	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.71	Facility		$0.28	$0.28	$0.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.38 / $1.10	Professional		$0.24	$0.38	$1.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.30 / $85.00	Facility		$0.30	$0.30	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.30	Professional		$0.30	$0.30	$0.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.42 / $0.94	Professional		$0.42	$0.42	$0.94
United Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.33 / $0.44	Professional		$0.30	$0.33	$0.44