Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $95.67 / $146.61	Facility		$0.08	$95.67	$146.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.24	Professional		$0.08	$0.08	$0.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.12	Professional		$0.08	$0.08	$0.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.13 / $0.20	Facility		$0.11	$0.13	$0.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.11 / $0.20	Facility		$0.08	$0.11	$0.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.13 / $0.24	Professional		$0.08	$0.13	$0.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.08 / $0.33	Facility		$0.07	$0.08	$0.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.08 / $0.62	Facility		$0.07	$0.08	$0.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $360.14	Professional		$0.07	$0.07	$360.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $50.00 / $85.00	Professional		$0.07	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.08 / $0.33	Facility		$0.07	$0.08	$0.33
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.12 / $1.10	Professional		$0.07	$0.12	$1.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $100.00	Facility		$85.00	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.14 / $360.14	Professional		$0.08	$0.14	$360.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.11 / $0.11	Professional		$0.09	$0.11	$0.11
United Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.11	Professional		$0.08	$0.08	$0.11