Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $1.85 / $67.00	Facility		$0.85	$1.85	$67.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.85 / $1.12	Professional		$0.83	$0.85	$1.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $1.04 / $1.04	Facility		$1.04	$1.04	$1.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $1.12	Professional		$0.83	$0.83	$1.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.49 / $1.52	Facility		$1.33	$1.49	$1.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $1.18 / $2.15	Facility		$0.83	$1.18	$2.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.03 / $1.90	Professional		$0.83	$1.03	$1.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $0.84 / $2.13	Facility		$0.81	$0.84	$2.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.66 / $1.66	Professional		$1.22	$1.66	$1.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $0.81 / $1.58	Facility		$0.81	$0.81	$1.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.90 / $44.37	Professional		$0.81	$0.90	$44.37
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 $0.81 / $0.84 / $2.13	Facility		$0.81	$0.84	$2.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.66 / $1.66	Professional		$1.22	$1.66	$1.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.08 / $2.20	Professional		$0.83	$1.08	$2.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $100.00	Facility		$0.83	$0.83	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.46 / $44.37	Professional		$0.83	$1.46	$44.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.81 / $0.81	Professional		$0.81	$0.81	$0.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $1.17 / $1.21	Professional		$0.86	$1.17	$1.21
United Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.87 / $1.05	Professional		$0.83	$0.87	$1.05