Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.97 / $0.97 / $2.77	Facility		$0.97	$0.97	$2.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $0.97 / $1.43	Professional		$0.74	$0.97	$1.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $1.67 / $2.76	Facility		$1.67	$1.67	$2.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.67 / $1.90	Professional		$1.55	$1.67	$1.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $3.57 / $3.57	Facility		$1.67	$3.57	$3.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $5.27 / $7.00	Facility		$4.51	$5.27	$7.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $2.34 / $3.16	Professional		$0.85	$2.34	$3.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $1.36 / $1.67	Facility		$0.94	$1.36	$1.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.97 / $0.97 / $1.67	Professional		$0.97	$0.97	$1.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $1.38 / $1.75	Facility		$0.94	$1.38	$1.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.94 / $2.12	Professional		$0.79	$0.94	$2.12
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 $0.94 / $1.38 / $1.67	Facility		$0.94	$1.38	$1.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.97 / $0.97 / $1.67	Professional		$0.97	$0.97	$1.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.50 / $4.00	Professional		$1.67	$2.50	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.39 / $80.00	Facility		$3.26	$3.39	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $7.34 / $17.67	Professional		$0.85	$7.34	$17.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $1.67 / $1.67	Professional		$1.67	$1.67	$1.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $1.67 / $1.67	Professional		$1.67	$1.67	$1.67
United Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.83 / $1.39	Professional		$0.71	$0.83	$1.39