Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.85 / $1.85	Facility		$1.85	$1.85	$1.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.85 / $2.43	Professional		$1.39	$1.85	$2.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $3.19 / $5.26	Facility		$3.19	$3.19	$5.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $3.19 / $3.63	Professional		$2.97	$3.19	$3.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $6.83 / $6.83	Facility		$3.19	$6.83	$6.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $10.53 / $14.00	Facility		$9.01	$10.53	$14.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $4.69 / $6.05	Professional		$1.62	$4.69	$6.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $2.59 / $3.19	Facility		$1.79	$2.59	$3.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $3.19	Professional		$1.82	$1.82	$3.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.63 / $3.33	Facility		$1.81	$2.63	$3.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $3.51	Professional		$1.40	$1.40	$3.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $65.00 / $85.00	Professional		$3.39	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $2.63 / $3.19	Facility		$1.79	$2.63	$3.19
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $3.19	Professional		$1.82	$1.82	$3.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $4.79 / $8.00	Professional		$3.19	$4.79	$8.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.24 / $6.48 / $80.00	Facility		$6.24	$6.48	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $14.04 / $15.89	Professional		$1.62	$14.04	$15.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.19 / $3.19	Professional		$3.19	$3.19	$3.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.19 / $3.19	Professional		$3.19	$3.19	$3.19
United Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $1.92	Professional		$1.40	$1.40	$1.92