Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.01 / $1.93 / $2.25	Facility		$1.01	$1.93	$2.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.03 / $2.44	Professional		$1.00	$1.03	$2.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $1.85 / $2.23	Facility		$1.25	$1.85	$2.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.27	Professional		$1.00	$1.00	$1.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.83 / $1.83	Facility		$1.48	$1.83	$1.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.41 / $3.45	Facility		$1.00	$2.41	$3.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.53 / $1.74	Professional		$1.01	$1.53	$1.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $0.99 / $2.13	Facility		$0.99	$0.99	$2.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $2.00 / $2.00	Professional		$1.49	$2.00	$2.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $0.99 / $2.13	Facility		$0.99	$0.99	$2.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.99 / $1.10 / $2.00	Professional		$0.99	$1.10	$2.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $65.00 / $85.00	Professional		$0.98	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $0.99 / $2.13	Facility		$0.99	$0.99	$2.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $2.00 / $2.00	Professional		$1.49	$2.00	$2.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.52 / $3.00	Professional		$1.00	$1.52	$3.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $85.00	Facility		$1.00	$1.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.40 / $1.59	Professional		$1.26	$1.40	$1.59
United Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.11 / $1.40	Professional		$1.00	$1.11	$1.40