Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $0.33	Facility		$0.33	$0.33	$0.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.33 / $0.38	Professional		$0.32	$0.33	$0.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.32 / $0.48	Professional		$0.32	$0.32	$0.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.44 / $0.51	Facility		$0.44	$0.44	$0.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.50 / $1.40	Facility		$0.32	$0.50	$1.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.38 / $0.64	Professional		$0.32	$0.38	$0.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.33 / $0.99	Facility		$0.31	$0.33	$0.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $0.99	Facility		$0.31	$0.31	$0.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $4,027.60	Professional		$0.31	$0.31	$4,027.60
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 $0.31 / $0.33 / $0.99	Facility		$0.31	$0.33	$0.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.52 / $1.13	Professional		$0.32	$0.52	$1.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $85.00 / $100.00	Facility		$65.00	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $1.48 / $4,027.60	Professional		$0.32	$1.48	$4,027.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $1.07 / $1.79	Professional		$0.45	$1.07	$1.79
United Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.32 / $0.42	Professional		$0.32	$0.32	$0.42