Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $1.00 / $562.57	Facility		$0.51	$1.00	$562.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.51 / $1.21	Professional		$0.50	$0.51	$1.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $0.63	Facility		$0.63	$0.63	$0.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $0.63	Professional		$0.50	$0.50	$0.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $0.69 / $0.80	Facility		$0.69	$0.69	$0.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $1.25 / $1.79	Facility		$0.50	$1.25	$1.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $0.78 / $0.89	Professional		$0.53	$0.78	$0.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.50 / $1.42	Facility		$0.33	$0.50	$1.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $1.00 / $1.00	Professional		$0.26	$1.00	$1.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.50 / $1.42	Facility		$0.33	$0.50	$1.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $1.00	Professional		$0.50	$0.50	$1.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $65.00 / $85.00	Professional		$0.50	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.50 / $1.42	Facility		$0.33	$0.50	$1.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $1.00 / $1.00	Professional		$0.26	$1.00	$1.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.54 / $1.00	Professional		$0.50	$0.54	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.50 / $100.00	Facility		$0.50	$0.50	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $0.50	Professional		$0.50	$0.50	$0.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $0.70 / $0.70	Professional		$0.51	$0.70	$0.70
United Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $0.68	Professional		$0.50	$0.50	$0.68