Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $2.20 / $2.20	Facility		$2.20	$2.20	$2.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.39 / $3.04	Professional		$2.20	$2.39	$3.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $4.16 / $6.88	Facility		$3.78	$4.16	$6.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.52 / $4.63	Professional		$3.30	$3.52	$4.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $8.09 / $8.09	Facility		$2.72	$8.09	$8.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $11.00 / $15.40	Facility		$2.27	$11.00	$15.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $5.72 / $7.15	Professional		$1.93	$5.72	$7.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $3.17 / $4.34	Facility		$1.04	$3.17	$4.34
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $3.78 / $4.54	Professional		$2.16	$3.78	$4.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $3.96 / $80.00	Facility		$1.84	$3.96	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.88 / $4.12	Professional		$1.51	$1.88	$4.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $55.00 / $85.00	Professional		$1.91	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $3.30 / $4.34	Facility		$1.04	$3.30	$4.34
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $3.78 / $4.54	Professional		$2.16	$3.78	$4.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $5.80 / $10.03	Professional		$3.78	$5.80	$10.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.80 / $8.69 / $80.00	Facility		$2.80	$8.69	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.27 / $18.82	Professional		$1.93	$2.27	$18.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.78 / $3.78	Professional		$3.78	$3.78	$3.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.78 / $3.78	Professional		$3.78	$3.78	$3.78
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.88 / $3.78	Professional		$1.26	$1.88	$3.78