Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Facility		$1.17	$1.17	$1.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $1.17 / $1.53	Professional		$0.88	$1.17	$1.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $3.32	Facility		$2.00	$2.00	$3.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $2.00 / $2.47	Professional		$1.87	$2.00	$2.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $4.30 / $4.30	Facility		$2.00	$4.30	$4.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $6.32 / $8.40	Facility		$5.41	$6.32	$8.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $2.81 / $3.80	Professional		$0.82	$2.81	$3.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $1.66 / $2.00	Facility		$1.14	$1.66	$2.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $1.66 / $2.11	Facility		$1.14	$1.66	$2.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.07 / $2.54	Professional		$0.94	$1.07	$2.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $65.00 / $85.00	Professional		$2.14	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $1.66 / $2.00	Facility		$1.14	$1.66	$2.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $5.00	Professional		$2.00	$3.02	$5.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $4.08 / $80.00	Facility		$3.92	$4.08	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $8.82 / $10.01	Professional		$0.82	$8.82	$10.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $1.00 / $1.67	Professional		$0.84	$1.00	$1.67