Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $1.24 / $3.55	Facility		$1.24	$1.24	$3.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.24 / $1.84	Professional		$0.94	$1.24	$1.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.14 / $3.53	Facility		$2.14	$2.14	$3.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.14 / $2.43	Professional		$1.99	$2.14	$2.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $4.58 / $4.58	Facility		$2.14	$4.58	$4.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $6.32 / $8.40	Facility		$5.41	$6.32	$8.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $3.28 / $4.05	Professional		$1.10	$3.28	$4.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.74 / $2.14	Facility		$1.20	$1.74	$2.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $2.14	Professional		$1.22	$1.22	$2.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.77 / $2.23	Facility		$1.20	$1.77	$2.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.22 / $2.72	Professional		$1.00	$1.22	$2.72
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 $1.20 / $1.77 / $2.14	Facility		$1.20	$1.77	$2.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $2.14	Professional		$1.22	$1.22	$2.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.21 / $5.00	Professional		$2.14	$3.21	$5.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $4.34 / $80.00	Facility		$4.18	$4.34	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $9.41 / $10.66	Professional		$1.10	$9.41	$10.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Professional		$2.14	$2.14	$2.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Professional		$2.14	$2.14	$2.14
United Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.07 / $2.00	Professional		$0.89	$1.07	$2.00