Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $1.61 / $4.61	Facility		$1.61	$1.61	$4.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.61 / $2.38	Professional		$1.22	$1.61	$2.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $2.78 / $4.59	Facility		$2.78	$2.78	$4.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.78 / $3.16	Professional		$2.59	$2.78	$3.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $5.95 / $5.95	Facility		$2.78	$5.95	$5.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $8.42 / $11.20	Facility		$7.21	$8.42	$11.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $4.22 / $5.25	Professional		$1.42	$4.22	$5.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.56 / $2.25 / $2.78	Facility		$1.56	$2.25	$2.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.59 / $2.78	Professional		$1.59	$1.59	$2.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.56 / $2.29 / $2.90	Facility		$1.56	$2.29	$2.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.57 / $3.51	Professional		$1.30	$1.57	$3.51
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 $1.56 / $2.29 / $2.78	Facility		$1.56	$2.29	$2.78
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.59 / $2.78	Professional		$1.59	$1.59	$2.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $4.17 / $7.00	Professional		$2.78	$4.17	$7.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $5.64 / $80.00	Facility		$5.42	$5.64	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $12.20 / $13.84	Professional		$1.42	$12.20	$13.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $2.78 / $2.78	Professional		$2.78	$2.78	$2.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $2.78 / $2.78	Professional		$2.78	$2.78	$2.78
United Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.39 / $2.58	Professional		$1.18	$1.39	$2.58