Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $1.27 / $1.49	Facility		$0.67	$1.27	$1.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $0.72 / $0.96	Professional		$0.69	$0.72	$0.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.30 / $1.56	Facility		$0.88	$1.30	$1.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $0.88	Professional		$0.70	$0.70	$0.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $1.12	Facility		$0.96	$0.96	$1.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $1.34 / $1.92	Facility		$0.70	$1.34	$1.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.76 / $0.86	Professional		$0.62	$0.76	$0.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $0.65 / $1.42	Facility		$0.65	$0.65	$1.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $1.40 / $1.40	Professional		$0.98	$1.40	$1.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $0.65 / $1.42	Facility		$0.65	$0.65	$1.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $1.40	Professional		$0.65	$0.65	$1.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $55.00 / $85.00	Professional		$0.59	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $0.65 / $1.42	Facility		$0.65	$0.65	$1.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $1.40 / $1.40	Professional		$0.98	$1.40	$1.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.92 / $2.25	Professional		$0.70	$0.92	$2.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $0.70	Professional		$0.70	$0.70	$0.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $0.98 / $0.98	Professional		$0.98	$0.98	$0.98
United Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $1.05	Professional		$0.70	$0.70	$1.05