Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $1.46 / $1.46	Facility		$1.46	$1.46	$1.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.59 / $2.02	Professional		$1.46	$1.59	$2.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.76 / $4.57	Facility		$2.50	$2.76	$4.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.33 / $3.08	Professional		$2.16	$2.33	$3.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $5.37 / $5.37	Facility		$1.81	$5.37	$5.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $6.31 / $9.80	Facility		$1.51	$6.31	$9.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $3.81 / $4.75	Professional		$1.28	$3.81	$4.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $2.10 / $2.89	Facility		$0.68	$2.10	$2.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $2.50 / $3.01	Professional		$1.43	$2.50	$3.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $2.63 / $80.00	Facility		$1.22	$2.63	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.25 / $2.73	Professional		$1.00	$1.25	$2.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $55.00 / $85.00	Professional		$1.23	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $2.19 / $2.89	Facility		$0.68	$2.19	$2.89
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $2.50 / $3.01	Professional		$1.43	$2.50	$3.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.77 / $6.02	Professional		$2.50	$3.77	$6.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $4.90 / $80.00	Facility		$1.51	$4.90	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.56 / $12.50	Professional		$1.28	$1.56	$12.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Professional		$2.50	$2.50	$2.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Professional		$2.50	$2.50	$2.50
United Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $1.25 / $2.09	Professional		$0.84	$1.25	$2.09