Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $47.54 / $87.91	Facility		$7.61	$47.54	$87.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.99 / $49.60	Professional		$0.96	$0.99	$49.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $1.57	Professional		$0.96	$0.96	$1.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $1.80 / $2.43	Facility		$1.31	$1.80	$2.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $1.30	Professional		$0.96	$0.96	$1.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $2.35 / $4.30	Facility		$0.96	$2.35	$4.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $1.84 / $4.13	Professional		$0.96	$1.84	$4.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.99 / $1.80	Facility		$0.96	$0.99	$1.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.34 / $1.34	Professional		$1.34	$1.34	$1.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.80 / $4.46	Facility		$0.99	$1.80	$4.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $1.80 / $527.24	Professional		$1.77	$1.80	$527.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $50.00 / $85.00	Professional		$0.96	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.99 / $1.80	Facility		$0.96	$0.99	$1.80
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.34 / $1.34	Professional		$1.34	$1.34	$1.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $1.45 / $4.40	Professional		$0.95	$1.45	$4.40
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 $0.96 / $2.20 / $527.24	Professional		$0.96	$2.20	$527.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.35 / $1.74	Professional		$1.13	$1.35	$1.74
United Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $0.96 / $1.20	Professional		$0.86	$0.96	$1.20