Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $2.23 / $2.23	Facility		$2.23	$2.23	$2.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.44 / $3.10	Professional		$2.23	$2.44	$3.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $4.24 / $7.01	Facility		$3.85	$4.24	$7.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $3.58 / $4.73	Professional		$3.41	$3.58	$4.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.77 / $8.24 / $8.24	Facility		$2.77	$8.24	$8.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $11.00 / $15.40	Facility		$2.31	$11.00	$15.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $5.72 / $7.29	Professional		$1.96	$5.72	$7.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $3.22 / $4.43	Facility		$1.05	$3.22	$4.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $3.85 / $4.62	Professional		$2.20	$3.85	$4.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $4.01 / $80.00	Facility		$1.87	$4.01	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.92 / $4.19	Professional		$1.54	$1.92	$4.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $55.00 / $85.00	Professional		$1.60	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $3.35 / $4.43	Facility		$1.05	$3.35	$4.43
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $3.85 / $4.62	Professional		$2.20	$3.85	$4.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $5.92 / $10.03	Professional		$3.85	$5.92	$10.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $7.52 / $80.00	Facility		$2.31	$7.52	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.31 / $19.17	Professional		$1.96	$2.31	$19.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $3.85 / $3.85	Professional		$3.85	$3.85	$3.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $3.85 / $3.85	Professional		$3.85	$3.85	$3.85
United Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.92 / $3.30	Professional		$1.28	$1.92	$3.30