Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $1.47 / $1.47	Facility		$1.47	$1.47	$1.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.60 / $2.04	Professional		$1.47	$1.60	$2.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $2.78 / $4.59	Facility		$2.52	$2.78	$4.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.35 / $3.11	Professional		$2.24	$2.35	$3.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $5.41 / $5.41	Facility		$1.82	$5.41	$5.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $8.00 / $11.20	Facility		$1.69	$8.00	$11.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $3.75 / $4.79	Professional		$1.44	$3.75	$4.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $2.12 / $2.91	Facility		$0.69	$2.12	$2.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.52 / $3.04	Professional		$1.45	$2.52	$3.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $2.65 / $80.00	Facility		$1.23	$2.65	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.27 / $2.76	Professional		$1.01	$1.27	$2.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $55.00 / $85.00	Professional		$1.18	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $2.21 / $2.91	Facility		$0.69	$2.21	$2.91
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.52 / $3.04	Professional		$1.45	$2.52	$3.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.80 / $6.02	Professional		$2.52	$3.80	$6.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $4.94 / $80.00	Facility		$1.69	$4.94	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.69 / $12.60	Professional		$1.44	$1.69	$12.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $2.52	Professional		$2.52	$2.52	$2.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $2.52	Professional		$2.52	$2.52	$2.52
United Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $1.27 / $2.14	Professional		$0.84	$1.27	$2.14