Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $0.77 / $2.21	Facility		$0.77	$0.77	$2.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.77 / $1.12	Professional		$0.39	$0.77	$1.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.33 / $2.19	Facility		$1.33	$1.33	$2.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.33 / $1.51	Professional		$1.24	$1.33	$1.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $2.85 / $2.85	Facility		$1.33	$2.85	$2.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $4.21 / $5.60	Facility		$3.60	$4.21	$5.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $1.88 / $2.52	Professional		$0.68	$1.88	$2.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $1.08 / $1.33	Facility		$0.75	$1.08	$1.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $1.33	Professional		$0.76	$0.76	$1.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $1.10 / $1.39	Facility		$0.75	$1.10	$1.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.75 / $1.69	Professional		$0.62	$0.75	$1.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $1.10 / $1.33	Facility		$0.75	$1.10	$1.33
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $1.33	Professional		$0.76	$0.76	$1.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $2.00 / $3.00	Professional		$1.33	$2.00	$3.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.60 / $2.70 / $80.00	Facility		$2.60	$2.70	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $5.85 / $7.07	Professional		$0.68	$5.85	$7.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.33 / $1.33	Professional		$1.33	$1.33	$1.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.33 / $1.33	Professional		$1.33	$1.33	$1.33
United Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.67 / $1.11	Professional		$0.56	$0.67	$1.11