Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $1.67 / $1.67	Facility		$1.67	$1.67	$1.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.82 / $2.33	Professional		$1.62	$1.82	$2.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $3.17 / $5.24	Facility		$2.88	$3.17	$5.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $2.68 / $3.54	Professional		$2.68	$2.68	$3.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $6.16 / $6.16	Facility		$2.08	$6.16	$6.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $8.11 / $12.60	Facility		$1.73	$8.11	$12.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $4.29 / $5.45	Professional		$1.47	$4.29	$5.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $2.41 / $3.31	Facility		$0.79	$2.41	$3.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.88 / $3.46	Professional		$1.66	$2.88	$3.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $3.01 / $80.00	Facility		$1.41	$3.01	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.44 / $3.13	Professional		$1.14	$1.44	$3.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $55.00 / $85.00	Professional		$1.50	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $2.50 / $3.31	Facility		$0.79	$2.50	$3.31
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.88 / $3.46	Professional		$1.66	$2.88	$3.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.46 / $7.03	Professional		$2.88	$4.46	$7.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $5.62 / $80.00	Facility		$1.73	$5.62	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.73 / $14.34	Professional		$1.47	$1.73	$14.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88
United Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $1.44 / $2.40	Professional		$0.96	$1.44	$2.40