Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $1.80 / $1.80	Facility		$1.80	$1.80	$1.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.96 / $2.49	Professional		$1.74	$1.96	$2.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.41 / $5.64	Facility		$3.10	$3.41	$5.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.88 / $3.81	Professional		$2.79	$2.88	$3.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $6.63 / $6.63	Facility		$2.22	$6.63	$6.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $8.11 / $12.60	Facility		$1.85	$8.11	$12.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $5.17 / $5.88	Professional		$1.57	$5.17	$5.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $2.60 / $3.57	Facility		$0.84	$2.60	$3.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $3.10 / $3.72	Professional		$1.76	$3.10	$3.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $3.24 / $80.00	Facility		$1.50	$3.24	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.65 / $3.56	Professional		$1.31	$1.65	$3.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $55.00 / $85.00	Professional		$1.11	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $2.70 / $3.57	Facility		$0.84	$2.70	$3.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $3.10 / $3.72	Professional		$1.76	$3.10	$3.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $4.75 / $8.02	Professional		$3.10	$4.75	$8.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $6.06 / $80.00	Facility		$1.85	$6.06	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $2.18 / $17.64	Professional		$1.57	$2.18	$17.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $3.10	Professional		$3.10	$3.10	$3.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $3.10	Professional		$3.10	$3.10	$3.10
United Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.54 / $3.10	Professional		$1.11	$1.54	$3.10