Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $1.34 / $2.00	Facility		$0.69	$1.34	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.98 / $1.60	Professional		$0.95	$0.98	$1.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $1.19 / $1.19	Facility		$1.19	$1.19	$1.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.95 / $1.20	Professional		$0.95	$0.95	$1.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $1.30 / $1.52	Facility		$1.30	$1.30	$1.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $1.88 / $2.68	Facility		$0.95	$1.88	$2.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.03 / $1.18	Professional		$0.85	$1.03	$1.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.67 / $2.13	Facility		$0.66	$0.67	$2.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.90 / $2.67	Professional		$1.01	$1.90	$2.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.67 / $1.42	Facility		$0.66	$0.67	$1.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.67 / $1.90	Professional		$0.67	$0.67	$1.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $65.00 / $85.00	Professional		$0.81	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.67 / $2.13	Facility		$0.66	$0.67	$2.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.90 / $2.67	Professional		$1.01	$1.90	$2.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.25 / $3.00	Professional		$0.94	$1.25	$3.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $0.95 / $100.00	Facility		$0.95	$0.95	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.95 / $0.95	Professional		$0.95	$0.95	$0.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.33 / $1.34	Professional		$0.80	$1.33	$1.34
United Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.95 / $1.43	Professional		$0.95	$0.95	$1.43