Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.21 / $1.21	Facility		$1.21	$1.21	$1.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.31 / $1.67	Professional		$1.17	$1.31	$1.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $2.29 / $3.79	Facility		$2.08	$2.29	$3.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.93 / $2.54	Professional		$1.83	$1.93	$2.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $4.45 / $4.45	Facility		$1.49	$4.45	$4.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $5.41 / $8.40	Facility		$1.25	$5.41	$8.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $3.47 / $3.94	Professional		$1.06	$3.47	$3.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $1.74 / $2.39	Facility		$0.56	$1.74	$2.39
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $2.08 / $2.50	Professional		$1.19	$2.08	$2.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $2.18 / $80.00	Facility		$1.02	$2.18	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.04 / $2.27	Professional		$0.83	$1.04	$2.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $55.00 / $85.00	Professional		$1.08	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $1.82 / $2.39	Facility		$0.56	$1.82	$2.39
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $2.08 / $2.50	Professional		$1.19	$2.08	$2.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $3.12 / $5.01	Professional		$2.08	$3.12	$5.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $4.05 / $80.00	Facility		$1.25	$4.05	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $1.47 / $14.13	Professional		$1.06	$1.47	$14.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $2.08	Professional		$2.08	$2.08	$2.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $2.08	Professional		$2.08	$2.08	$2.08
United Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $1.04 / $1.75	Professional		$0.69	$1.04	$1.75