Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $61.40 / $96.31	Facility		$1.51	$61.40	$96.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.46 / $16.20	Professional		$0.45	$0.46	$16.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.67	Professional		$0.45	$0.45	$0.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.62 / $1.11	Facility		$0.45	$0.62	$1.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.61	Professional		$0.45	$0.45	$0.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.56 / $1.02	Facility		$0.45	$0.56	$1.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.62 / $1.11	Professional		$0.45	$0.62	$1.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.45 / $0.69	Facility		$0.33	$0.45	$0.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.47 / $17.94	Facility		$0.33	$0.47	$17.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $11,271.93	Professional		$0.45	$0.45	$11,271.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $65.00 / $85.00	Professional		$0.45	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.45 / $0.71	Facility		$0.33	$0.45	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.48 / $1.10	Professional		$0.45	$0.48	$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 $0.45 / $0.76 / $11,271.93	Professional		$0.45	$0.76	$11,271.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.63 / $0.63	Professional		$0.37	$0.63	$0.63
United Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.64	Professional		$0.45	$0.45	$0.64