Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.76 / $1.76	Facility		$0.88	$1.76	$1.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $0.94	Professional		$0.85	$0.85	$0.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $1.27	Professional		$0.85	$0.85	$1.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $0.85 / $1.32	Facility		$0.77	$0.85	$1.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.85 / $1.32	Professional		$0.77	$0.85	$1.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $1.18 / $3.26	Facility		$0.85	$1.18	$3.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.89 / $2.69	Professional		$0.76	$0.89	$2.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $0.86 / $1.23	Facility		$0.77	$0.86	$1.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $0.78 / $1.23	Facility		$0.77	$0.78	$1.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.86 / $1,342.50	Professional		$0.77	$0.86	$1,342.50
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 $0.77 / $0.86 / $1.23	Facility		$0.77	$0.86	$1.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.20 / $2.27	Professional		$0.85	$1.20	$2.27
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 $0.85 / $1.69 / $1,342.50	Professional		$0.85	$1.69	$1,342.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.27 / $1.89	Professional		$1.19	$1.27	$1.89
United Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $2.46 / $2.46	Facility		$2.46	$2.46	$2.46
United Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.90 / $1.08	Professional		$0.85	$0.90	$1.08