Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $1.23 / $1.43	Facility		$0.64	$1.23	$1.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.72 / $3.75	Professional		$0.70	$0.72	$3.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $0.88 / $0.88	Facility		$0.88	$0.88	$0.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $0.88	Professional		$0.70	$0.70	$0.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $1.12	Facility		$0.96	$0.96	$1.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $1.70 / $2.43	Facility		$0.70	$1.70	$2.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $1.42 / $1.61	Professional		$0.70	$1.42	$1.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $3.06	Facility		$0.63	$0.63	$3.06
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $1.40 / $1.40	Professional		$0.95	$1.40	$1.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $36.09	Facility		$0.63	$0.63	$36.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $1.40	Professional		$0.63	$0.63	$1.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $65.00 / $85.00	Professional		$0.66	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $3.06	Facility		$0.63	$0.63	$3.06
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $1.40 / $1.40	Professional		$0.95	$1.40	$1.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $1.08 / $3.00	Professional		$0.70	$1.08	$3.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $0.70 / $100.00	Facility		$0.70	$0.70	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $0.70	Professional		$0.70	$0.70	$0.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $0.98 / $2.54	Professional		$0.98	$0.98	$2.54
United Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $1.12	Professional		$0.70	$0.70	$1.12