Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $2.47 / $2.47	Facility		$2.47	$2.47	$2.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.47 / $3.24	Professional		$1.86	$2.47	$3.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $7.03	Facility		$4.26	$4.26	$7.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $4.26 / $4.84	Professional		$3.96	$4.26	$4.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $9.11 / $9.11	Facility		$4.26	$9.11	$9.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $13.69 / $18.19	Facility		$11.71	$13.69	$18.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $6.09 / $8.06	Professional		$2.18	$6.09	$8.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $3.24 / $4.26	Facility		$2.24	$3.24	$4.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $4.26	Professional		$2.25	$2.25	$4.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $3.24 / $4.44	Facility		$2.41	$3.24	$4.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.27 / $6.02	Professional		$1.98	$2.27	$6.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $65.00 / $85.00	Professional		$2.02	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $3.24 / $4.26	Facility		$2.24	$3.24	$4.26
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $4.26	Professional		$2.25	$2.25	$4.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $6.39 / $11.00	Professional		$4.26	$6.39	$11.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.65 / $80.00	Facility		$8.32	$8.65	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $18.72 / $22.37	Professional		$2.18	$18.72	$22.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Professional		$4.26	$4.26	$4.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Professional		$4.26	$4.26	$4.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $2.12 / $3.96	Professional		$1.72	$2.12	$3.96