Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $1.81 / $1.81	Facility		$1.81	$1.81	$1.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.98 / $2.50	Professional		$1.81	$1.98	$2.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $3.43 / $5.68	Facility		$3.12	$3.43	$5.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $2.90 / $3.83	Professional		$2.80	$2.90	$3.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $6.68 / $6.68	Facility		$2.25	$6.68	$6.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $8.11 / $12.60	Facility		$1.87	$8.11	$12.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $4.74 / $5.91	Professional		$1.59	$4.74	$5.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $2.52 / $3.59	Facility		$0.85	$2.52	$3.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.90 / $3.74	Professional		$1.67	$2.90	$3.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $3.19 / $80.00	Facility		$1.51	$3.19	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.55 / $3.40	Professional		$1.24	$1.55	$3.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $50.00 / $85.00	Professional		$1.62	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $2.72 / $3.59	Facility		$0.85	$2.72	$3.59
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.90 / $3.74	Professional		$1.67	$2.90	$3.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $4.80 / $8.02	Professional		$3.12	$4.80	$8.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $6.10 / $80.00	Facility		$1.87	$6.10	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.87 / $17.67	Professional		$1.59	$1.87	$17.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.12 / $3.12	Professional		$3.12	$3.12	$3.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.12 / $3.12	Professional		$3.12	$3.12	$3.12
United Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $1.55 / $2.67	Professional		$1.04	$1.55	$2.67