Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $1.56 / $1.81	Facility		$0.65	$1.56	$1.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.64 / $0.81	Professional		$0.63	$0.64	$0.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $1.17 / $1.40	Facility		$0.79	$1.17	$1.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.85	Professional		$0.63	$0.63	$0.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.01 / $1.12 / $1.15	Facility		$1.01	$1.12	$1.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $2.27 / $3.96	Facility		$0.63	$2.27	$3.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $1.05 / $3.18	Professional		$0.63	$1.05	$3.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.66 / $1.12	Facility		$0.63	$0.66	$1.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.26 / $1.26	Professional		$1.17	$1.26	$1.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $0.78 / $1.12	Facility		$0.78	$0.78	$1.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.87 / $7.30	Professional		$0.78	$0.87	$7.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.66 / $0.91	Facility		$0.63	$0.66	$0.91
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.26 / $1.26	Professional		$1.17	$1.26	$1.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.97 / $3.00	Professional		$0.63	$0.97	$3.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $85.00	Facility		$0.63	$0.63	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $4.05 / $7.30	Professional		$0.63	$4.05	$7.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $0.88	Professional		$0.88	$0.88	$0.88
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.66 / $0.79	Professional		$0.63	$0.66	$0.79