Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $2.09	Facility		$2.09	$2.09	$2.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $2.09 / $2.74	Professional		$1.57	$2.09	$2.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $3.59 / $5.92	Facility		$3.59	$3.59	$5.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $3.59 / $4.09	Professional		$3.34	$3.59	$4.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $7.68 / $7.68	Facility		$3.59	$7.68	$7.68
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 $1.46 / $4.17 / $6.80	Professional		$1.46	$4.17	$6.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.64 / $3.59	Facility		$2.02	$2.64	$3.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $3.59	Professional		$2.06	$2.06	$3.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.93 / $3.76	Facility		$2.04	$2.93	$3.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.02 / $4.55	Professional		$1.67	$2.02	$4.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $65.00 / $85.00	Professional		$1.52	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.93 / $3.59	Facility		$2.02	$2.93	$3.59
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $3.59	Professional		$2.06	$2.06	$3.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $5.39 / $9.00	Professional		$3.59	$5.39	$9.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.02 / $7.29 / $80.00	Facility		$7.02	$7.29	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.66 / $17.88	Professional		$1.46	$1.66	$17.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $3.59	Professional		$3.59	$3.59	$3.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $3.59	Professional		$3.59	$3.59	$3.59
United Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.79 / $3.32	Professional		$1.45	$1.79	$3.32