Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $1.40 / $1.65	Facility		$0.74	$1.40	$1.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.74 / $3.83	Professional		$0.72	$0.74	$3.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Facility		$0.90	$0.90	$0.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $0.91	Professional		$0.72	$0.72	$0.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $0.98 / $1.14	Facility		$0.98	$0.98	$1.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $2.23 / $3.19	Facility		$0.72	$2.23	$3.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $1.71 / $1.94	Professional		$0.86	$1.71	$1.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $0.72 / $6.41	Facility		$0.72	$0.72	$6.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.44 / $4.26	Professional		$1.08	$1.44	$4.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $0.72 / $6.41	Facility		$0.72	$0.72	$6.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $1.44	Professional		$0.72	$0.72	$1.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $65.00 / $85.00	Professional		$0.86	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $0.72 / $6.41	Facility		$0.72	$0.72	$6.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.44 / $4.26	Professional		$1.08	$1.44	$4.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $1.02 / $2.27	Professional		$0.72	$1.02	$2.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $0.72 / $100.00	Facility		$0.72	$0.72	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $0.72	Professional		$0.72	$0.72	$0.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.01 / $3.26	Professional		$1.01	$1.01	$3.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $1.08	Professional		$0.72	$0.72	$1.08