Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $0.87 / $20.81	Facility		$0.87	$0.87	$20.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.87 / $3.38	Professional		$0.85	$0.87	$3.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $1.42 / $2.34	Facility		$1.42	$1.42	$2.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.42 / $1.77	Professional		$1.32	$1.42	$1.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $3.04 / $3.04	Facility		$1.42	$3.04	$3.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $4.21 / $5.60	Facility		$3.60	$4.21	$5.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.91 / $2.75	Professional		$1.03	$1.91	$2.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $1.31 / $10.22	Facility		$0.87	$1.31	$10.22
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $9.65	Professional		$1.42	$1.42	$9.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $1.33 / $11.48	Facility		$0.87	$1.33	$11.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.42 / $17.73	Professional		$0.85	$1.42	$17.73
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 $0.87 / $1.31 / $10.22	Facility		$0.87	$1.31	$10.22
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $9.65	Professional		$1.42	$1.42	$9.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $2.13 / $3.09	Professional		$1.42	$2.13	$3.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $17.28 / $80.00	Facility		$2.88	$17.28	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $7.10 / $51.44	Professional		$1.03	$7.10	$51.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.42	Professional		$1.42	$1.42	$1.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.42	Professional		$1.42	$1.42	$1.42
United Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.85 / $10.47	Professional		$0.71	$0.85	$10.47