Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $6.01	Facility		$2.10	$2.10	$6.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.10 / $3.11	Professional		$1.58	$2.10	$3.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $3.62 / $5.97	Facility		$3.62	$3.62	$5.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.62 / $4.12	Professional		$3.37	$3.62	$4.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $7.75 / $7.75	Facility		$3.62	$7.75	$7.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $11.58 / $15.40	Facility		$9.91	$11.58	$15.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $5.16 / $6.86	Professional		$1.85	$5.16	$6.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.66 / $3.62	Facility		$2.04	$2.66	$3.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $3.62	Professional		$2.06	$2.06	$3.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.94 / $3.78	Facility		$2.04	$2.94	$3.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $2.04 / $4.59	Professional		$1.68	$2.04	$4.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $65.00 / $85.00	Professional		$0.67	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.94 / $3.62	Facility		$2.04	$2.94	$3.62
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $3.62	Professional		$2.06	$2.06	$3.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $5.43 / $9.00	Professional		$3.62	$5.43	$9.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.35 / $80.00	Facility		$7.08	$7.35	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $15.93 / $18.03	Professional		$1.85	$15.93	$18.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.62 / $3.62	Professional		$3.62	$3.62	$3.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.62 / $3.62	Professional		$3.62	$3.62	$3.62
United Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.81 / $3.01	Professional		$1.20	$1.81	$3.01