Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $1.29 / $1.52	Facility		$0.68	$1.29	$1.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.86 / $1.47	Professional		$0.83	$0.86	$1.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $1.04 / $1.04	Facility		$1.04	$1.04	$1.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $1.05	Professional		$0.83	$0.83	$1.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $1.13 / $1.33	Facility		$1.13	$1.13	$1.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $1.70 / $2.43	Facility		$0.83	$1.70	$2.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.73 / $1.20 / $1.36	Professional		$0.73	$1.20	$1.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.66 / $2.13	Facility		$0.66	$0.66	$2.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $1.66 / $1.66	Professional		$0.54	$1.66	$1.66
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 / $1.39	Professional		$0.66	$0.66	$1.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $65.00 / $85.00	Professional		$0.71	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.66 / $2.13	Facility		$0.66	$0.66	$2.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $1.66 / $1.66	Professional		$0.54	$1.66	$1.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.02 / $2.00	Professional		$0.83	$1.02	$2.00
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 $0.83 / $0.83 / $0.83	Professional		$0.83	$0.83	$0.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Professional		$0.66	$0.66	$0.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $1.17 / $1.22	Professional		$0.98	$1.17	$1.22
United Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $1.13	Professional		$0.83	$0.83	$1.13