Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $1.55 / $4.43	Facility		$1.55	$1.55	$4.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.55 / $2.29	Professional		$1.18	$1.55	$2.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.67 / $2.67 / $4.41	Facility		$2.67	$2.67	$4.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.67 / $3.04	Professional		$2.48	$2.67	$3.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.67 / $5.71 / $5.71	Facility		$2.67	$5.71	$5.71
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 $1.38 / $3.75 / $5.05	Professional		$1.38	$3.75	$5.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $1.96 / $2.67	Facility		$1.50	$1.96	$2.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.54 / $2.67	Professional		$1.54	$1.54	$2.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $2.17 / $2.79	Facility		$1.52	$2.17	$2.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.52 / $3.38	Professional		$1.25	$1.52	$3.38
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 $1.50 / $2.17 / $2.67	Facility		$1.50	$2.17	$2.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.54 / $2.67	Professional		$1.54	$1.54	$2.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $4.01 / $7.00	Professional		$2.67	$4.01	$7.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.42 / $80.00	Facility		$5.22	$5.42	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $11.75 / $13.30	Professional		$1.38	$11.75	$13.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $2.67 / $2.67	Professional		$2.67	$2.67	$2.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $2.67 / $2.67	Professional		$2.67	$2.67	$2.67
United Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.34 / $2.49	Professional		$1.12	$1.34	$2.49