Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.21 / $2.21 / $2.21	Facility		$2.21	$2.21	$2.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.42 / $3.07	Professional		$2.21	$2.42	$3.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $4.19 / $6.93	Facility		$3.81	$4.19	$6.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $3.54 / $4.68	Professional		$3.42	$3.54	$4.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $8.15 / $8.15	Facility		$2.74	$8.15	$8.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $11.00 / $15.40	Facility		$2.29	$11.00	$15.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $5.72 / $7.21	Professional		$1.95	$5.72	$7.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $3.19 / $4.38	Facility		$1.04	$3.19	$4.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.81 / $4.57	Professional		$2.18	$3.81	$4.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $3.98 / $80.00	Facility		$1.86	$3.98	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.90 / $4.15	Professional		$1.52	$1.90	$4.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $55.00 / $85.00	Professional		$1.97	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $3.32 / $4.38	Facility		$1.04	$3.32	$4.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.81 / $4.57	Professional		$2.18	$3.81	$4.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $5.87 / $10.03	Professional		$3.81	$5.87	$10.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $7.44 / $80.00	Facility		$2.29	$7.44	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.29 / $18.97	Professional		$1.95	$2.29	$18.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $3.81 / $3.81	Professional		$3.81	$3.81	$3.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $3.81 / $3.81	Professional		$3.81	$3.81	$3.81
United Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.90 / $3.81	Professional		$1.27	$1.90	$3.81