Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $1.97 / $1.97	Facility		$1.97	$1.97	$1.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.15 / $2.73	Professional		$1.91	$2.15	$2.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.73 / $6.17	Facility		$3.39	$3.73	$6.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $3.15 / $4.16	Professional		$2.94	$3.15	$4.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $7.25 / $7.25	Facility		$2.44	$7.25	$7.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $9.01 / $14.00	Facility		$2.04	$9.01	$14.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $4.76 / $6.41	Professional		$1.73	$4.76	$6.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $2.79 / $3.90	Facility		$0.93	$2.79	$3.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $2.88 / $4.07	Professional		$1.94	$2.88	$4.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $3.39 / $80.00	Facility		$1.65	$3.39	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.71 / $3.70	Professional		$1.33	$1.71	$3.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $55.00 / $85.00	Professional		$1.90	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $2.96 / $3.90	Facility		$0.93	$2.96	$3.90
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $2.88 / $4.07	Professional		$1.94	$2.88	$4.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.22 / $9.02	Professional		$3.39	$5.22	$9.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $6.62 / $80.00	Facility		$2.04	$6.62	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $2.04 / $17.67	Professional		$1.73	$2.04	$17.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
United Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.69 / $2.87	Professional		$1.12	$1.69	$2.87