Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.29 / $1.29	Facility		$1.29	$1.29	$1.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $1.29 / $1.80	Professional		$0.66	$1.29	$1.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $2.45 / $4.05	Facility		$2.23	$2.45	$4.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.74	Professional		$2.06	$2.06	$2.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $4.76 / $4.76	Facility		$1.61	$4.76	$4.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $6.31 / $9.80	Facility		$1.34	$6.31	$9.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $3.33 / $4.23	Professional		$1.13	$3.33	$4.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $1.87 / $2.56	Facility		$0.61	$1.87	$2.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $2.23 / $2.68	Professional		$1.09	$2.23	$2.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $2.31 / $80.00	Facility		$1.09	$2.31	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.12 / $2.43	Professional		$0.89	$1.12	$2.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $55.00 / $85.00	Professional		$0.31	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $1.94 / $2.56	Facility		$0.61	$1.94	$2.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $2.23 / $2.68	Professional		$1.09	$2.23	$2.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $3.44 / $6.02	Professional		$2.23	$3.44	$6.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $4.36 / $80.00	Facility		$1.34	$4.36	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.34 / $23.09	Professional		$1.13	$1.34	$23.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.23 / $2.23	Professional		$2.23	$2.23	$2.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.23 / $2.23	Professional		$2.23	$2.23	$2.23
United Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $1.12 / $1.92	Professional		$0.74	$1.12	$1.92