Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $3.00 / $3.52	Facility		$1.58	$3.00	$3.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.66 / $3.62	Professional		$1.61	$1.66	$3.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.98 / $3.59	Facility		$2.00	$2.98	$3.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $2.04	Professional		$1.61	$1.61	$2.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $2.20 / $2.58	Facility		$2.20	$2.20	$2.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $3.75 / $5.36	Facility		$1.61	$3.75	$5.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $2.35 / $2.68	Professional		$1.61	$2.35	$2.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $1.54 / $1.61	Facility		$0.81	$1.54	$1.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $3.22 / $3.22	Professional		$0.80	$3.22	$3.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $1.53 / $1.54	Facility		$0.81	$1.53	$1.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.54 / $3.22	Professional		$1.54	$1.54	$3.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $65.00 / $85.00	Professional		$1.56	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $1.54 / $1.61	Facility		$0.81	$1.54	$1.61
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $3.22 / $3.22	Professional		$0.80	$3.22	$3.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.96 / $5.00	Professional		$1.61	$1.96	$5.00
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 $1.61 / $1.61 / $1.61	Professional		$1.61	$1.61	$1.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $2.25 / $2.25	Professional		$1.63	$2.25	$2.25
United Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $2.37	Professional		$1.61	$1.61	$2.37