Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.45 / $104.72 / $516.88	Facility		$59.45	$104.72	$516.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $32.79 / $155.41	Professional		$0.16	$32.79	$155.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.23	Professional		$0.15	$0.15	$0.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.21 / $0.37	Facility		$0.15	$0.21	$0.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.20	Professional		$0.15	$0.15	$0.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.22 / $0.41	Facility		$0.15	$0.22	$0.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.27 / $0.36	Professional		$0.15	$0.27	$0.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.16 / $0.62	Facility		$0.15	$0.16	$0.62
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 $0.16 / $1.25 / $6.23	Facility		$0.16	$1.25	$6.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $1,506.04	Professional		$0.15	$0.15	$1,506.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $65.00 / $85.00	Professional		$0.15	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.16 / $0.62	Facility		$0.15	$0.16	$0.62
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 $0.15 / $0.22 / $1.10	Professional		$0.15	$0.22	$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 $0.15 / $0.32 / $1,506.04	Professional		$0.15	$0.32	$1,506.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.21 / $0.21	Professional		$0.14	$0.21	$0.21
United Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.24	Professional		$0.15	$0.15	$0.24