Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.82 / $1.76 / $25.51	Facility		$0.82	$1.76	$25.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.82 / $2.88	Professional		$0.79	$0.82	$2.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $0.99 / $0.99	Facility		$0.99	$0.99	$0.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $1.00	Professional		$0.79	$0.79	$1.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $1.09 / $1.26	Facility		$1.09	$1.09	$1.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $2.50 / $3.58	Facility		$0.79	$2.50	$3.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $1.20 / $1.36	Professional		$0.79	$1.20	$1.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.88 / $1.42	Facility		$0.79	$0.88	$1.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $1.58 / $1.58	Professional		$0.54	$1.58	$1.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $0.88 / $5.17	Facility		$0.88	$0.88	$5.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $1.58	Professional		$0.88	$0.88	$1.58
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 $0.79 / $0.88 / $1.42	Facility		$0.79	$0.88	$1.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $1.58 / $1.58	Professional		$0.54	$1.58	$1.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $1.02 / $2.00	Professional		$0.79	$1.02	$2.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.79 / $100.00	Facility		$0.79	$0.79	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $0.79	Professional		$0.79	$0.79	$0.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.64	Professional		$1.11	$1.11	$1.64
United Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $1.08	Professional		$0.79	$0.79	$1.08