Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $1.40 / $1.40	Facility		$1.40	$1.40	$1.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.53 / $1.95	Professional		$1.35	$1.53	$1.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $2.65 / $4.38	Facility		$2.41	$2.65	$4.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.24 / $2.96	Professional		$2.21	$2.24	$2.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $5.16 / $5.16	Facility		$1.74	$5.16	$5.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $7.00 / $9.80	Facility		$1.45	$7.00	$9.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $4.00 / $4.55	Professional		$1.23	$4.00	$4.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $2.02 / $2.77	Facility		$0.67	$2.02	$2.77
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $2.41 / $2.89	Professional		$1.39	$2.41	$2.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $2.52 / $80.00	Facility		$1.18	$2.52	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.97 / $1.21 / $2.62	Professional		$0.97	$1.21	$2.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $55.00 / $85.00	Professional		$1.34	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $2.10 / $2.77	Facility		$0.67	$2.10	$2.77
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $2.41 / $2.89	Professional		$1.39	$2.41	$2.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.73 / $6.02	Professional		$2.41	$3.73	$6.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $4.70 / $80.00	Facility		$1.45	$4.70	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.54 / $12.00	Professional		$1.23	$1.54	$12.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $2.41	Professional		$2.41	$2.41	$2.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $2.41	Professional		$2.41	$2.41	$2.41
United Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.21 / $2.08	Professional		$0.80	$1.21	$2.08