Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $2.85 / $72.47	Facility		$1.04	$2.85	$72.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.70 / $6.63	Professional		$1.01	$1.70	$6.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.01 / $1.28	Professional		$1.01	$1.01	$1.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.38 / $1.62	Facility		$1.38	$1.38	$1.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.77 / $3.96	Facility		$1.00	$2.77	$3.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $2.24 / $2.54	Professional		$0.68	$2.24	$2.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.95 / $1.66	Facility		$0.13	$0.95	$1.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $2.02 / $2.02	Professional		$0.26	$2.02	$2.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $1.66 / $69.65	Facility		$0.95	$1.66	$69.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.95 / $2.02	Professional		$0.95	$0.95	$2.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $65.00 / $85.00	Professional		$0.67	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.95 / $1.66	Facility		$0.13	$0.95	$1.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $2.02 / $2.02	Professional		$0.26	$2.02	$2.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.44 / $4.00	Professional		$1.01	$1.44	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $100.00	Facility		$1.00	$1.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $2.76	Professional		$1.42	$1.42	$2.76
United Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.01 / $1.62	Professional		$1.01	$1.01	$1.62