Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Facility		$2.25	$2.25	$2.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.46 / $3.13	Professional		$2.25	$2.46	$3.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $4.29 / $7.10	Facility		$3.90	$4.29	$7.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.63 / $4.79	Professional		$3.44	$3.63	$4.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $8.35 / $8.35	Facility		$2.79	$8.35	$8.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $12.00 / $16.79	Facility		$2.34	$12.00	$16.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $5.72 / $7.39	Professional		$1.99	$5.72	$7.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.06 / $3.26 / $4.49	Facility		$1.06	$3.26	$4.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $3.90 / $4.68	Professional		$2.22	$3.90	$4.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $4.07 / $80.00	Facility		$1.89	$4.07	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.94 / $4.24	Professional		$1.55	$1.94	$4.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.03 / $55.00 / $85.00	Professional		$2.03	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.06 / $3.39 / $4.49	Facility		$1.06	$3.39	$4.49
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $3.90 / $4.68	Professional		$2.22	$3.90	$4.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $5.97 / $10.03	Professional		$3.90	$5.97	$10.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $7.62 / $80.00	Facility		$2.34	$7.62	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.34 / $19.42	Professional		$1.99	$2.34	$19.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $3.90 / $3.90	Professional		$3.90	$3.90	$3.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $3.90 / $3.90	Professional		$3.90	$3.90	$3.90
United Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.94 / $3.90	Professional		$1.30	$1.94	$3.90