Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Facility		$1.51	$1.51	$1.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.64 / $2.09	Professional		$1.46	$1.64	$2.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $2.85 / $4.71	Facility		$2.59	$2.85	$4.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.41 / $3.18	Professional		$2.33	$2.41	$3.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $5.54 / $5.54	Facility		$1.86	$5.54	$5.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.56 / $8.00 / $11.20	Facility		$1.56	$8.00	$11.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $3.81 / $4.90	Professional		$1.33	$3.81	$4.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $2.17 / $2.98	Facility		$0.71	$2.17	$2.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $2.59 / $3.11	Professional		$1.49	$2.59	$3.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $2.72 / $80.00	Facility		$1.26	$2.72	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $1.30 / $2.83	Professional		$1.04	$1.30	$2.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $55.00 / $85.00	Professional		$1.36	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $2.27 / $2.98	Facility		$0.71	$2.27	$2.98
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $2.59 / $3.11	Professional		$1.49	$2.59	$3.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.99 / $7.03	Professional		$2.59	$3.99	$7.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.56 / $5.05 / $80.00	Facility		$1.56	$5.05	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.56 / $12.90	Professional		$1.33	$1.56	$12.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $2.59	Professional		$2.59	$2.59	$2.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $2.59	Professional		$2.59	$2.59	$2.59
United Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $1.30 / $2.19	Professional		$0.86	$1.30	$2.19