Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Facility		$1.82	$1.82	$1.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.99 / $2.52	Professional		$1.82	$1.99	$2.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $3.45 / $5.71	Facility		$3.14	$3.45	$5.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $2.92 / $3.86	Professional		$2.92	$2.92	$3.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $6.72 / $6.72	Facility		$2.25	$6.72	$6.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $8.11 / $12.60	Facility		$1.89	$8.11	$12.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $4.76 / $5.95	Professional		$1.61	$4.76	$5.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $2.71 / $3.61	Facility		$1.82	$2.71	$3.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.77 / $3.77	Professional		$3.14	$3.77	$3.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $3.28 / $90.00	Facility		$2.50	$3.28	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $2.38 / $3.97	Professional		$1.43	$2.38	$3.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $55.00 / $85.00	Professional		$3.17	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $2.73 / $3.61	Facility		$1.82	$2.73	$3.61
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.77 / $3.77	Professional		$3.14	$3.77	$3.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $4.84 / $8.02	Professional		$3.14	$4.84	$8.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $6.14 / $90.00	Facility		$1.89	$6.14	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.89 / $15.64	Professional		$1.61	$1.89	$15.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.14 / $3.14	Professional		$3.14	$3.14	$3.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.14 / $3.14	Professional		$3.14	$3.14	$3.14
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $2.00 / $3.97	Professional		$1.22	$2.00	$3.97