Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $1.52 / $1.78	Facility		$0.80	$1.52	$1.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.80 / $3.09	Professional		$0.77	$0.80	$3.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $0.96	Facility		$0.96	$0.96	$0.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.77 / $0.97	Professional		$0.77	$0.77	$0.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.06 / $1.06 / $1.23	Facility		$1.06	$1.06	$1.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $1.88 / $2.68	Facility		$0.77	$1.88	$2.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.80 / $2.04	Professional		$1.09	$1.80	$2.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $0.78 / $1.66	Facility		$0.77	$0.78	$1.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.54 / $3.47	Professional		$1.17	$1.54	$3.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $0.78 / $1.66	Facility		$0.78	$0.78	$1.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.78 / $1.54	Professional		$0.78	$0.78	$1.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $65.00 / $85.00	Professional		$1.06	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $0.78 / $1.66	Facility		$0.77	$0.78	$1.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.54 / $3.47	Professional		$1.17	$1.54	$3.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $1.20 / $3.41	Professional		$0.77	$1.20	$3.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $0.77 / $100.00	Facility		$0.77	$0.77	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.77 / $0.77	Professional		$0.77	$0.77	$0.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.08 / $2.81	Professional		$1.08	$1.08	$2.81
United Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.77 / $1.23	Professional		$0.77	$0.77	$1.23