Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $2.00 / $2.62	Professional		$1.43	$2.00	$2.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $3.38 / $5.58	Facility		$3.38	$3.38	$5.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.38 / $3.85	Professional		$3.14	$3.38	$3.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $5.07 / $7.23	Facility		$3.38	$5.07	$7.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.19 / $7.84	Professional		$3.55	$4.19	$7.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $10.53 / $14.00	Facility		$9.01	$10.53	$14.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $4.69 / $6.36	Professional		$2.00	$4.69	$6.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $2.72 / $3.38	Facility		$1.93	$2.72	$3.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $3.38 / $3.38	Professional		$3.38	$3.38	$3.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $2.72 / $3.55	Facility		$1.93	$2.72	$3.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $1.95 / $4.37	Professional		$1.56	$1.95	$4.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $2.72 / $3.38	Facility		$1.93	$2.72	$3.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $3.38 / $3.38	Professional		$3.38	$3.38	$3.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $5.07 / $7.71	Professional		$3.38	$5.07	$7.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.56 / $6.86 / $75.00	Facility		$6.56	$6.86	$75.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $14.76 / $16.82	Professional		$2.00	$14.76	$16.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $3.54	Professional		$3.54	$3.54	$3.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $3.54	Professional		$3.54	$3.54	$3.54
United Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.70 / $3.04	Professional		$1.31	$1.70	$3.04