Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $0.93 / $2.67	Facility		$0.93	$0.93	$2.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.93 / $2.67	Professional		$0.47	$0.93	$2.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $1.61 / $2.66	Facility		$1.61	$1.61	$2.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.61 / $1.83	Professional		$1.50	$1.61	$1.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $3.45 / $3.45	Facility		$1.61	$3.45	$3.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $3.74	Professional		$3.74	$3.74	$3.74
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 $0.82 / $2.34 / $3.04	Professional		$0.82	$2.34	$3.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.33 / $2.44	Facility		$0.90	$1.33	$2.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $0.93 / $1.61	Professional		$0.93	$0.93	$1.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.92 / $1.33 / $3.62	Facility		$0.92	$1.33	$3.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.91 / $2.04	Professional		$0.76	$0.91	$2.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $58.40 / $85.00	Professional		$0.48	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.33 / $2.44	Facility		$0.90	$1.33	$2.44
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $0.93 / $1.61	Professional		$0.93	$0.93	$1.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $2.42 / $4.00	Professional		$1.61	$2.42	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $3.27 / $80.00	Facility		$3.14	$3.27	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $7.07 / $8.02	Professional		$0.82	$7.07	$8.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $1.61	Professional		$1.61	$1.61	$1.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $1.61	Professional		$1.61	$1.61	$1.61
United Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.80 / $1.34	Professional		$0.67	$0.80	$1.34