Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.36 / $1.36 / $1.36	Facility		$1.36	$1.36	$1.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.44 / $1.89	Professional		$1.36	$1.44	$1.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.57 / $4.26	Facility		$2.34	$2.57	$4.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.18 / $2.87	Professional		$2.02	$2.18	$2.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $5.01 / $5.01	Facility		$1.69	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $6.31 / $9.80	Facility		$1.41	$6.31	$9.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $3.33 / $4.44	Professional		$1.20	$3.33	$4.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $1.93 / $2.69	Facility		$0.65	$1.93	$2.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $2.34 / $2.81	Professional		$1.35	$2.34	$2.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $2.34 / $80.00	Facility		$1.14	$2.34	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.17 / $2.54	Professional		$0.92	$1.17	$2.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $55.00 / $85.00	Professional		$1.59	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $2.04 / $2.69	Facility		$0.65	$2.04	$2.69
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $2.34 / $2.81	Professional		$1.35	$2.34	$2.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.61 / $6.02	Professional		$2.34	$3.61	$6.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $4.58 / $80.00	Facility		$1.41	$4.58	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.41 / $11.65	Professional		$1.20	$1.41	$11.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $2.34	Professional		$2.34	$2.34	$2.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $2.34	Professional		$2.34	$2.34	$2.34
United Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.17 / $1.98	Professional		$0.78	$1.17	$1.98