Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $224.26 / $734.09	Facility		$0.22	$224.26	$734.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $4.99	Professional		$0.22	$0.22	$4.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.34	Professional		$0.22	$0.22	$0.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.30 / $0.54	Facility		$0.22	$0.30	$0.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.30	Professional		$0.22	$0.22	$0.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.34 / $0.61	Facility		$0.22	$0.34	$0.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.56 / $0.64	Professional		$0.22	$0.56	$0.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.53	Facility		$0.22	$0.22	$0.53
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 $0.22 / $0.23 / $0.71	Facility		$0.22	$0.23	$0.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $575.60	Professional		$0.22	$0.22	$575.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $65.00 / $85.00	Professional		$0.22	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.45	Facility		$0.22	$0.22	$0.45
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 $0.21 / $0.33 / $1.10	Professional		$0.21	$0.33	$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 $0.22 / $0.49 / $575.60	Professional		$0.22	$0.49	$575.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.31 / $0.33	Professional		$0.23	$0.31	$0.33
United Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.31	Professional		$0.22	$0.22	$0.31