Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $3.68 / $4.21	Facility		$0.91	$3.68	$4.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.91 / $1.87	Professional		$0.88	$0.91	$1.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.63 / $1.96	Facility		$1.10	$1.63	$1.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $1.32	Professional		$0.88	$0.88	$1.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.30 / $1.41	Facility		$1.21	$1.30	$1.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.72 / $3.58	Facility		$0.88	$1.72	$3.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $1.75 / $2.50	Professional		$0.88	$1.75	$2.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $0.97 / $9.94	Facility		$0.88	$0.97	$9.94
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $6.68	Professional		$1.76	$1.76	$6.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $1.89 / $9.94	Facility		$1.84	$1.89	$9.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.04 / $8,746.08	Professional		$1.84	$2.04	$8,746.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $0.97 / $9.94	Facility		$0.88	$0.97	$9.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $6.68	Professional		$1.76	$1.76	$6.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $1.57 / $4.54	Professional		$0.88	$1.57	$4.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $85.00 / $100.00	Facility		$0.88	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $3.41 / $8,746.08	Professional		$0.88	$3.41	$8,746.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.24 / $17.12	Professional		$1.24	$1.24	$17.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $1.11	Professional		$0.88	$0.88	$1.11