Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.47 / $1.29 / $1.52	Facility		$0.47	$1.29	$1.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.47 / $1.31	Professional		$0.45	$0.47	$1.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.56 / $0.56	Facility		$0.56	$0.56	$0.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.66	Professional		$0.45	$0.45	$0.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $0.72	Facility		$0.62	$0.62	$0.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $1.07 / $1.53	Facility		$0.45	$1.07	$1.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $0.98 / $1.11	Professional		$0.53	$0.98	$1.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.66 / $0.99	Facility		$0.45	$0.66	$0.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.90 / $0.99	Professional		$0.26	$0.90	$0.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.66 / $1.42	Facility		$0.66	$0.66	$1.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.99	Professional		$0.66	$0.66	$0.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $65.00 / $85.00	Professional		$0.52	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.66 / $0.99	Facility		$0.45	$0.66	$0.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.90 / $0.99	Professional		$0.26	$0.90	$0.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.52 / $1.04	Professional		$0.45	$0.52	$1.04
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 $0.45 / $0.45 / $0.45	Professional		$0.45	$0.45	$0.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $1.30	Professional		$0.63	$0.63	$1.30
United Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.72	Professional		$0.45	$0.45	$0.72