Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.82 / $1.48 / $1.69	Facility		$0.82	$1.48	$1.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.96	Professional		$0.80	$0.80	$0.96
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 / $1.00	Professional		$0.80	$0.80	$1.00
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 / $1.23 / $3.41	Facility		$0.80	$1.23	$3.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $1.22	Professional		$0.80	$0.80	$1.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.80 / $1.14	Facility		$0.74	$0.80	$1.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $1.60 / $1.60	Professional		$1.60	$1.60	$1.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.74 / $1.06	Facility		$0.74	$0.74	$1.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $0.74 / $15.96	Professional		$0.74	$0.74	$15.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.80 / $1.08	Facility		$0.74	$0.80	$1.08
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $1.60 / $1.60	Professional		$1.60	$1.60	$1.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.08 / $2.20	Professional		$0.80	$1.08	$2.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $65.00 / $85.00	Facility		$0.80	$65.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $4.68 / $15.96	Professional		$0.80	$4.68	$15.96
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 / $0.96	Professional		$0.80	$0.80	$0.96