Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $0.99 / $1.15	Facility		$0.40	$0.99	$1.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.40 / $3.62	Professional		$0.39	$0.40	$3.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $0.70 / $0.85	Facility		$0.49	$0.70	$0.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.51	Professional		$0.39	$0.39	$0.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.53 / $0.53 / $0.62	Facility		$0.53	$0.53	$0.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $1.25 / $1.79	Facility		$0.38	$1.25	$1.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $1.15 / $1.31	Professional		$0.31	$1.15	$1.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.51 / $1.66	Facility		$0.39	$0.51	$1.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.78 / $0.80	Professional		$0.77	$0.78	$0.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $0.51 / $1.66	Facility		$0.51	$0.51	$1.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $0.51 / $0.78	Professional		$0.51	$0.51	$0.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $65.00 / $85.00	Professional		$0.30	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.51 / $1.66	Facility		$0.39	$0.51	$1.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.78 / $0.80	Professional		$0.77	$0.78	$0.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.69 / $2.25	Professional		$0.38	$0.69	$2.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.38 / $0.38	Professional		$0.38	$0.38	$0.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.55 / $2.96	Professional		$0.55	$0.55	$2.96
United Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.82	Professional		$0.39	$0.39	$0.82