Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.27 / $1.97 / $5.63	Facility		$1.27	$1.97	$5.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.97 / $3.10	Professional		$1.48	$1.97	$3.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $5.59	Facility		$3.39	$3.39	$5.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $3.39 / $3.86	Professional		$3.15	$3.39	$3.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $7.25 / $7.25	Facility		$3.39	$7.25	$7.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $7.86	Professional		$7.86	$7.86	$7.86
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 $1.73 / $4.69 / $6.41	Professional		$1.73	$4.69	$6.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $2.76 / $3.39	Facility		$1.91	$2.76	$3.39
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.94 / $3.39	Professional		$1.94	$1.94	$3.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $2.79 / $3.55	Facility		$1.91	$2.79	$3.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.92 / $4.30	Professional		$1.57	$1.92	$4.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $65.00 / $85.00	Professional		$2.31	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $2.79 / $3.39	Facility		$1.91	$2.79	$3.39
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.94 / $3.39	Professional		$1.94	$1.94	$3.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.09 / $9.00	Professional		$3.39	$5.09	$9.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $6.88 / $80.00	Facility		$6.62	$6.88	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $14.90 / $16.88	Professional		$1.73	$14.90	$16.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.69 / $2.82	Professional		$1.41	$1.69	$2.82