Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $1.21 / $1.43	Facility		$0.64	$1.21	$1.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.65 / $3.41	Professional		$0.63	$0.65	$3.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.79 / $0.79	Facility		$0.79	$0.79	$0.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.80	Professional		$0.63	$0.63	$0.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.86 / $0.86 / $1.01	Facility		$0.86	$0.86	$1.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $1.88 / $2.68	Facility		$0.63	$1.88	$2.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $0.80 / $1.48	Professional		$0.57	$0.80	$1.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $1.42	Facility		$0.62	$0.62	$1.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.26 / $1.26	Professional		$0.80	$1.26	$1.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $1.42	Facility		$0.62	$0.62	$1.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $1.26	Professional		$0.62	$0.62	$1.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $65.00 / $85.00	Professional		$0.60	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $1.42	Facility		$0.62	$0.62	$1.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.26 / $1.26	Professional		$0.80	$1.26	$1.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.93 / $2.25	Professional		$0.63	$0.93	$2.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.63	Professional		$0.63	$0.63	$0.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $1.86	Professional		$0.88	$0.88	$1.86
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.95	Professional		$0.63	$0.63	$0.95