Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.73 / $1.19 / $1.81	Facility		$0.73	$1.19	$1.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.73 / $2.37	Professional		$0.71	$0.73	$2.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $0.89 / $0.89	Facility		$0.89	$0.89	$0.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.71 / $1.06	Professional		$0.71	$0.71	$1.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.97 / $1.05 / $1.13	Facility		$0.97	$1.05	$1.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $1.61 / $2.29	Facility		$0.71	$1.61	$2.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $3.62 / $4.11	Professional		$0.71	$3.62	$4.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $0.79 / $1.42	Facility		$0.71	$0.79	$1.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.42 / $3.21	Professional		$1.19	$1.42	$3.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $1.01 / $100.00	Facility		$0.79	$1.01	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.79 / $1.66	Professional		$0.67	$0.79	$1.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $65.00 / $90.00	Professional		$0.69	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $0.79 / $1.42	Facility		$0.71	$0.79	$1.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.42 / $3.21	Professional		$1.19	$1.42	$3.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $1.08 / $3.41	Professional		$0.71	$1.08	$3.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $85.00 / $100.00	Facility		$5.80	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.71 / $2.54	Professional		$0.71	$0.71	$2.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $0.69 / $0.69	Professional		$0.69	$0.69	$0.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $12.11	Professional		$1.00	$1.00	$12.11
United Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.71 / $1.49	Professional		$0.71	$0.71	$1.49