Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $1.19 / $1.38	Facility		$0.62	$1.19	$1.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $0.63 / $2.49	Professional		$0.61	$0.63	$2.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $0.76 / $0.76	Facility		$0.76	$0.76	$0.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $0.61 / $0.77	Professional		$0.61	$0.61	$0.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $0.98	Facility		$0.83	$0.83	$0.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $0.93 / $2.36	Facility		$0.61	$0.93	$2.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $1.86 / $2.11	Professional		$0.61	$1.86	$2.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $0.61 / $0.99	Facility		$0.61	$0.61	$0.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.22 / $1.60	Professional		$0.92	$1.22	$1.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $0.61 / $6.85	Facility		$0.61	$0.61	$6.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $0.68 / $1.22	Professional		$0.61	$0.68	$1.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $65.00 / $85.00	Professional		$0.59	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $0.61 / $0.99	Facility		$0.61	$0.61	$0.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.22 / $1.60	Professional		$0.92	$1.22	$1.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $0.91 / $2.16	Professional		$0.61	$0.91	$2.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $0.61 / $100.00	Facility		$0.61	$0.61	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $0.61 / $0.61	Professional		$0.61	$0.61	$0.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $0.86 / $1.43	Professional		$0.86	$0.86	$1.43
United Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $0.68 / $1.28	Professional		$0.61	$0.68	$1.28