Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Facility		$2.50	$2.50	$2.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $2.50 / $3.71	Professional		$1.27	$2.50	$3.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $4.33 / $7.88	Facility		$4.33	$4.33	$7.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $4.03 / $5.32	Professional		$2.21	$4.03	$5.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $9.27 / $9.27	Facility		$3.11	$9.27	$9.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $13.69 / $21.00	Facility		$11.71	$13.69	$21.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $6.09 / $8.19	Professional		$1.77	$6.09	$8.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $3.57 / $4.98	Facility		$2.22	$3.57	$4.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2.87 / $5.20	Professional		$2.87	$2.87	$5.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $4.33 / $90.00	Facility		$2.45	$4.33	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.16 / $5.63	Professional		$1.84	$2.16	$5.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $55.00 / $85.00	Professional		$2.27	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $3.57 / $5.20	Facility		$2.22	$3.57	$5.20
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2.87 / $5.20	Professional		$2.87	$2.87	$5.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $6.79 / $11.07	Professional		$4.33	$6.79	$11.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $8.46 / $90.00	Facility		$8.46	$8.46	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $19.04 / $44.16	Professional		$1.77	$19.04	$44.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $4.33 / $4.33	Professional		$4.33	$4.33	$4.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $4.33 / $4.33	Professional		$4.33	$4.33	$4.33
United Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $2.16 / $4.13	Professional		$1.44	$2.16	$4.13