Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $1.42 / $4.07	Facility		$1.42	$1.42	$4.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $1.47 / $6.90	Professional		$0.71	$1.47	$6.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $4.04	Facility		$2.45	$2.45	$4.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.45 / $2.79	Professional		$2.27	$2.45	$2.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.68 / $5.24	Facility		$2.45	$3.68	$5.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.94 / $5.69	Professional		$2.50	$2.94	$5.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.37 / $9.80	Facility		$6.31	$7.37	$9.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $3.75 / $4.63	Professional		$1.25	$3.75	$4.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $2.02 / $3.68	Facility		$1.37	$2.02	$3.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $2.45	Professional		$1.40	$1.40	$2.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $2.02 / $5.51	Facility		$1.41	$2.02	$5.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.38 / $3.10	Professional		$1.13	$1.38	$3.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $58.40 / $85.00	Professional		$0.61	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $2.02 / $3.68	Facility		$1.37	$2.02	$3.68
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $2.45	Professional		$1.40	$1.40	$2.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.68 / $6.00	Professional		$2.45	$3.68	$6.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $4.97 / $80.00	Facility		$4.78	$4.97	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $10.76 / $12.20	Professional		$1.25	$10.76	$12.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Professional		$2.45	$2.45	$2.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Professional		$2.45	$2.45	$2.45
United Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $1.22 / $2.27	Professional		$1.04	$1.22	$2.27