Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $2.20 / $2.20	Facility		$2.20	$2.20	$2.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.77 / $3.59	Professional		$2.18	$2.77	$3.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $4.16 / $6.88	Facility		$3.78	$4.16	$6.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $3.52 / $4.63	Professional		$3.51	$3.52	$4.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $8.09 / $8.09	Facility		$2.73	$8.09	$8.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $11.71 / $18.19	Facility		$2.68	$11.71	$18.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $6.09 / $7.18	Professional		$2.27	$6.09	$7.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $3.28 / $4.34	Facility		$1.22	$3.28	$4.34
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $3.78 / $4.54	Professional		$2.17	$3.78	$4.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.17 / $4.34 / $80.00	Facility		$2.17	$4.34	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.22 / $4.55	Professional		$1.75	$2.22	$4.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $55.00 / $85.00	Professional		$2.23	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $3.30 / $4.54	Facility		$1.22	$3.30	$4.54
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $3.78 / $4.54	Professional		$2.17	$3.78	$4.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $6.51 / $11.04	Professional		$3.78	$6.51	$11.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.77 / $7.40 / $80.00	Facility		$2.77	$7.40	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.76 / $21.36	Professional		$2.27	$2.76	$21.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.78 / $3.78	Professional		$3.78	$3.78	$3.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.78 / $3.78	Professional		$3.78	$3.78	$3.78
United Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.06 / $3.68	Professional		$1.48	$2.06	$3.68