Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.05 / $1.05	Facility		$1.05	$1.05	$1.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.13 / $1.46	Professional		$1.05	$1.13	$1.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $1.98 / $3.28	Facility		$1.80	$1.98	$3.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.67 / $2.21	Professional		$1.62	$1.67	$2.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $3.85 / $3.85	Facility		$1.30	$3.85	$3.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $5.00 / $7.00	Facility		$1.09	$5.00	$7.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $2.81 / $3.41	Professional		$0.93	$2.81	$3.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $1.51 / $2.06	Facility		$0.50	$1.51	$2.06
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $1.80 / $2.16	Professional		$1.04	$1.80	$2.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $1.89 / $80.00	Facility		$0.89	$1.89	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.90 / $1.97	Professional		$0.72	$0.90	$1.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $55.00 / $85.00	Professional		$0.75	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $1.58 / $2.06	Facility		$0.50	$1.58	$2.06
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $1.80 / $2.16	Professional		$1.04	$1.80	$2.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $2.79 / $5.01	Professional		$1.80	$2.79	$5.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $3.52 / $80.00	Facility		$1.09	$3.52	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $1.09 / $8.96	Professional		$0.93	$1.09	$8.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.80 / $1.80	Professional		$1.80	$1.80	$1.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.80 / $1.80	Professional		$1.80	$1.80	$1.80
United Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.90 / $1.55	Professional		$0.60	$0.90	$1.55