Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $1.64 / $113.75	Facility		$0.81	$1.64	$113.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.81 / $3.41	Professional		$0.79	$0.81	$3.41
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 / $2.14 / $3.07	Facility		$0.79	$2.14	$3.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $1.64 / $1.86	Professional		$0.66	$1.64	$1.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.82 / $1.66	Facility		$0.79	$0.82	$1.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.58 / $1.58	Professional		$1.07	$1.58	$1.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.82 / $0.82 / $2.13	Facility		$0.82	$0.82	$2.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.82 / $1.58	Professional		$0.82	$0.82	$1.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $65.00 / $85.00	Professional		$0.64	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.82 / $1.66	Facility		$0.79	$0.82	$1.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.58 / $1.58	Professional		$1.07	$1.58	$1.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.11 / $3.02	Professional		$0.78	$1.11	$3.02
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 / $2.88	Professional		$1.11	$1.11	$2.88
United Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $1.19	Professional		$0.79	$0.79	$1.19