Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.79 / $54.00 / $117.60	Facility		$6.79	$54.00	$117.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.52 / $15.92	Professional		$0.80	$1.52	$15.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $1.01	Professional		$0.80	$0.80	$1.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.28	Facility		$1.10	$1.10	$1.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $1.97 / $2.81	Facility		$0.80	$1.97	$2.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.19 / $1.35	Professional		$0.83	$1.19	$1.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.84 / $1.42	Facility		$0.66	$0.84	$1.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.60 / $1.60	Professional		$1.07	$1.60	$1.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $9.42 / $28.03	Facility		$1.98	$9.42	$28.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.84 / $1.60	Professional		$0.84	$0.84	$1.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $65.00 / $85.00	Professional		$0.83	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.84 / $1.42	Facility		$0.66	$0.84	$1.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.60 / $1.60	Professional		$1.07	$1.60	$1.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.24 / $3.00	Professional		$0.80	$1.24	$3.00
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 $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.12 / $1.30	Professional		$1.03	$1.12	$1.30
United Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $1.20	Professional		$0.80	$0.80	$1.20