Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.06 / $1.06 / $1.06	Facility		$1.06	$1.06	$1.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.06 / $1.48	Professional		$0.87	$1.06	$1.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $2.00 / $3.33	Facility		$1.83	$2.00	$3.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.70 / $2.25	Professional		$1.58	$1.70	$2.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $3.92 / $3.92	Facility		$1.32	$3.92	$3.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $4.51 / $7.00	Facility		$1.10	$4.51	$7.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $2.38 / $3.48	Professional		$0.94	$2.38	$3.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $1.53 / $2.10	Facility		$0.50	$1.53	$2.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $1.56 / $2.20	Professional		$0.90	$1.56	$2.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.91 / $80.00	Facility		$0.90	$1.91	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.73 / $0.91 / $1.99	Professional		$0.73	$0.91	$1.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $55.00 / $85.00	Professional		$0.95	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $1.56 / $2.10	Facility		$0.50	$1.56	$2.10
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $1.56 / $2.20	Professional		$0.90	$1.56	$2.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $2.83 / $5.01	Professional		$1.83	$2.83	$5.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $3.58 / $80.00	Facility		$1.10	$3.58	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.10 / $9.11	Professional		$0.94	$1.10	$9.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $1.83	Professional		$1.83	$1.83	$1.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $1.83	Professional		$1.83	$1.83	$1.83
United Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $0.91 / $1.58	Professional		$0.61	$0.91	$1.58