Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $1.19 / $1.19	Facility		$1.19	$1.19	$1.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.31 / $1.95	Professional		$1.19	$1.31	$1.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.25 / $3.73	Facility		$2.04	$2.25	$3.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $1.91 / $2.52	Professional		$1.84	$1.91	$2.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $4.38 / $4.38	Facility		$1.48	$4.38	$4.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $6.31 / $9.80	Facility		$1.37	$6.31	$9.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $3.28 / $3.88	Professional		$0.98	$3.28	$3.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $1.79 / $2.41	Facility		$0.67	$1.79	$2.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $2.04 / $2.46	Professional		$1.39	$2.04	$2.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $2.41 / $80.00	Facility		$1.18	$2.41	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.19 / $2.23	Professional		$0.94	$1.19	$2.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.16 / $55.00 / $85.00	Professional		$1.16	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $1.79 / $2.46	Facility		$0.67	$1.79	$2.46
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $2.04 / $2.46	Professional		$1.39	$2.04	$2.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.62 / $6.02	Professional		$2.04	$3.62	$6.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $4.00 / $80.00	Facility		$1.37	$4.00	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $1.36 / $9.00	Professional		$0.98	$1.36	$9.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.03 / $2.04	Professional		$0.80	$1.03	$2.04