Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $1.44 / $1.69	Facility		$0.76	$1.44	$1.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.82 / $1.27	Professional		$0.80	$0.82	$1.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.48 / $1.78	Facility		$1.00	$1.48	$1.78
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 $0.44 / $0.80 / $1.14	Facility		$0.44	$0.80	$1.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.00 / $1.22	Professional		$0.80	$1.00	$1.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.74 / $1.42	Facility		$0.74	$0.74	$1.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.60 / $1.60	Professional		$1.11	$1.60	$1.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.74 / $1.42	Facility		$0.74	$0.74	$1.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $0.74 / $1.60	Professional		$0.74	$0.74	$1.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $50.00 / $85.00	Professional		$0.95	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.74 / $1.42	Facility		$0.74	$0.74	$1.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.60 / $1.60	Professional		$1.11	$1.60	$1.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $1.24	Professional		$0.80	$0.80	$1.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $85.00	Facility		$0.80	$0.80	$85.00
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 $1.12 / $1.12 / $1.12	Professional		$1.12	$1.12	$1.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $1.20	Professional		$0.80	$0.80	$1.20