Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $1.59 / $1.59	Facility		$1.59	$1.59	$1.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.73 / $2.08	Professional		$1.59	$1.73	$2.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $3.00 / $4.97	Facility		$2.73	$3.00	$4.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.35	Professional		$2.54	$2.54	$3.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $5.84 / $5.84	Facility		$1.97	$5.84	$5.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $7.21 / $11.20	Facility		$1.64	$7.21	$11.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $3.81 / $5.18	Professional		$1.39	$3.81	$5.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $2.29 / $3.14	Facility		$0.75	$2.29	$3.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $2.73 / $3.28	Professional		$1.46	$2.73	$3.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $2.86 / $80.00	Facility		$1.33	$2.86	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.36 / $2.97	Professional		$1.09	$1.36	$2.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $55.00 / $85.00	Professional		$1.48	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $2.39 / $3.14	Facility		$0.75	$2.39	$3.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $2.73 / $3.28	Professional		$1.46	$2.73	$3.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $4.21 / $7.03	Professional		$2.73	$4.21	$7.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $5.34 / $80.00	Facility		$1.64	$5.34	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.64 / $35.33	Professional		$1.39	$1.64	$35.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.73	Professional		$2.73	$2.73	$2.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.73	Professional		$2.73	$2.73	$2.73
United Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $1.36 / $2.73	Professional		$0.91	$1.36	$2.73