Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $0.98 / $2.81	Facility		$0.98	$0.98	$2.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.98 / $1.51	Professional		$0.60	$0.98	$1.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.69 / $2.79	Facility		$1.69	$1.69	$2.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.69 / $1.99	Professional		$1.57	$1.69	$1.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $3.62 / $3.62	Facility		$1.69	$3.62	$3.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $5.27 / $7.00	Facility		$4.51	$5.27	$7.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $2.34 / $3.20	Professional		$1.02	$2.34	$3.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $1.44 / $1.76	Facility		$0.98	$1.44	$1.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.01 / $1.69	Professional		$1.01	$1.01	$1.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $1.44 / $1.84	Facility		$0.98	$1.44	$1.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $1.01 / $2.61	Professional		$0.81	$1.01	$2.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $1.44 / $1.76	Facility		$0.98	$1.44	$1.76
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.01 / $1.69	Professional		$1.01	$1.01	$1.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $2.62 / $5.00	Professional		$1.69	$2.62	$5.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.43 / $80.00	Facility		$3.30	$3.43	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $7.43 / $9.91	Professional		$1.02	$7.43	$9.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $1.69	Professional		$1.69	$1.69	$1.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $1.69	Professional		$1.69	$1.69	$1.69
United Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.89 / $1.58	Professional		$0.71	$0.89	$1.58