Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $1.83	Facility		$0.63	$0.63	$1.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.63 / $0.94	Professional		$0.47	$0.63	$0.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.82	Facility		$1.10	$1.10	$1.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.10 / $1.25	Professional		$1.02	$1.10	$1.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $2.35 / $2.35	Facility		$1.10	$2.35	$2.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.70 / $3.16 / $4.20	Facility		$2.70	$3.16	$4.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $1.41 / $2.08	Professional		$0.55	$1.41	$2.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $0.90 / $1.10	Facility		$0.61	$0.90	$1.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $1.10	Professional		$0.62	$0.62	$1.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $0.90 / $1.15	Facility		$0.61	$0.90	$1.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.62 / $1.38	Professional		$0.50	$0.62	$1.38
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 $0.61 / $0.90 / $1.10	Facility		$0.61	$0.90	$1.10
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $1.10	Professional		$0.62	$0.62	$1.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.65 / $3.00	Professional		$1.10	$1.65	$3.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.23 / $80.00	Facility		$2.14	$2.23	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $4.82 / $5.48	Professional		$0.55	$4.82	$5.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
United Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.55 / $0.91	Professional		$0.45	$0.55	$0.91