Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Facility		$1.17	$1.17	$1.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.27 / $1.62	Professional		$1.17	$1.27	$1.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.21 / $3.66	Facility		$2.00	$2.21	$3.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $1.87 / $2.47	Professional		$1.87	$1.87	$2.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.44 / $4.30 / $4.30	Facility		$1.44	$4.30	$4.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $5.41 / $8.40	Facility		$1.21	$5.41	$8.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $3.34 / $3.80	Professional		$1.03	$3.34	$3.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $1.68 / $2.31	Facility		$0.55	$1.68	$2.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.86 / $2.41	Professional		$1.14	$1.86	$2.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $2.11 / $80.00	Facility		$0.98	$2.11	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.00 / $2.19	Professional		$0.80	$1.00	$2.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $55.00 / $85.00	Professional		$1.47	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $1.76 / $2.31	Facility		$0.55	$1.76	$2.31
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.86 / $2.41	Professional		$1.14	$1.86	$2.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $5.01	Professional		$2.00	$3.02	$5.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $3.92 / $80.00	Facility		$1.21	$3.92	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.38 / $9.86	Professional		$1.03	$1.38	$9.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $1.00 / $2.00	Professional		$0.67	$1.00	$2.00