Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.12 / $3.24	Facility		$1.12	$1.12	$3.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.12 / $1.67	Professional		$0.85	$1.12	$1.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $3.22	Facility		$1.95	$1.95	$3.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.95 / $2.22	Professional		$1.81	$1.95	$2.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $4.17 / $4.17	Facility		$1.95	$4.17	$4.17
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 $0.99 / $2.81 / $3.69	Professional		$0.99	$2.81	$3.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $1.43 / $1.95	Facility		$1.09	$1.43	$1.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.95	Professional		$1.11	$1.11	$1.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.58 / $2.02	Facility		$1.10	$1.58	$2.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $1.10 / $2.46	Professional		$0.91	$1.10	$2.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.07 / $65.00 / $85.00	Professional		$2.07	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $1.58 / $1.95	Facility		$1.09	$1.58	$1.95
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.95	Professional		$1.11	$1.11	$1.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.93 / $5.00	Professional		$1.95	$2.93	$5.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.96 / $80.00	Facility		$3.80	$3.96	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.99 / $8.55 / $9.71	Professional		$0.99	$8.55	$9.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95
United Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.97 / $1.62	Professional		$0.82	$0.97	$1.62