Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $0.86 / $1.00	Facility		$0.43	$0.86	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.43 / $2.25	Professional		$0.42	$0.43	$2.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.53 / $0.53 / $0.53	Facility		$0.53	$0.53	$0.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.42 / $0.53	Professional		$0.42	$0.42	$0.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.56 / $0.67	Facility		$0.56	$0.56	$0.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.89 / $1.28	Facility		$0.42	$0.89	$1.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.70 / $0.80	Professional		$0.42	$0.70	$0.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.44 / $0.99	Facility		$0.42	$0.44	$0.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.84 / $2.67	Professional		$0.66	$0.84	$2.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.44 / $3.49	Facility		$0.44	$0.44	$3.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.44 / $0.84	Professional		$0.44	$0.44	$0.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $65.00 / $85.00	Professional		$0.43	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.44 / $0.99	Facility		$0.42	$0.44	$0.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.84 / $2.67	Professional		$0.66	$0.84	$2.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.51 / $1.13	Professional		$0.42	$0.51	$1.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.42 / $100.00	Facility		$0.42	$0.42	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.42 / $0.42	Professional		$0.42	$0.42	$0.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.59 / $1.62	Professional		$0.59	$0.59	$1.62
United Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.42 / $0.63	Professional		$0.42	$0.42	$0.63