Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $34.79 / $80.69	Facility		$1.33	$34.79	$80.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.83 / $2.38	Professional		$0.80	$0.83	$2.38
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 / $1.01	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 $0.80 / $2.50 / $3.58	Facility		$0.80	$2.50	$3.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $2.21 / $2.50	Professional		$0.80	$2.21	$2.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.84 / $1.18	Facility		$0.80	$0.84	$1.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.60 / $1.60	Professional		$1.26	$1.60	$1.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $32.29 / $74.55	Facility		$0.84	$32.29	$74.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.94 / $1.60	Professional		$0.84	$0.94	$1.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $65.00 / $85.00	Professional		$0.78	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.84 / $1.18	Facility		$0.80	$0.84	$1.18
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.60 / $1.60	Professional		$1.26	$1.60	$1.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.33 / $4.00	Professional		$0.80	$1.33	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $100.00	Facility		$0.80	$0.80	$100.00
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 / $1.80	Professional		$1.12	$1.12	$1.80
United Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.89 / $1.21	Professional		$0.80	$0.89	$1.21