Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $1.47 / $1.47	Facility		$1.47	$1.47	$1.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $1.55 / $1.92	Professional		$0.71	$1.55	$1.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $2.78 / $4.59	Facility		$2.52	$2.78	$4.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.35 / $3.11	Professional		$2.27	$2.35	$3.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $2.62 / $5.41	Facility		$1.82	$2.62	$5.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.25 / $3.01	Professional		$2.15	$2.25	$3.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $7.21 / $11.20	Facility		$1.52	$7.21	$11.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $3.81 / $4.79	Professional		$1.29	$3.81	$4.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $2.12 / $2.91	Facility		$0.69	$2.12	$2.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.15 / $3.04	Professional		$1.45	$2.15	$3.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $2.65 / $80.00	Facility		$1.23	$2.65	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.45 / $2.92	Professional		$1.07	$1.45	$2.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $55.00 / $85.00	Professional		$1.26	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $2.19 / $2.91	Facility		$0.69	$2.19	$2.91
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.15 / $3.04	Professional		$1.45	$2.15	$3.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.80 / $6.02	Professional		$2.52	$3.80	$6.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $4.94 / $80.00	Facility		$1.52	$4.94	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.52 / $12.52	Professional		$1.29	$1.52	$12.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $2.52	Professional		$2.52	$2.52	$2.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $2.52	Professional		$2.52	$2.52	$2.52
United Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $1.27 / $2.43	Professional		$0.84	$1.27	$2.43