Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $1.02 / $2.91	Facility		$1.02	$1.02	$2.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.02 / $1.50	Professional		$0.78	$1.02	$1.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $2.89	Facility		$1.75	$1.75	$2.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $1.75 / $1.99	Professional		$1.63	$1.75	$1.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $3.75 / $3.75	Facility		$1.75	$3.75	$3.75
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 $0.90 / $2.34 / $3.31	Professional		$0.90	$2.34	$3.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.43 / $1.75	Facility		$0.99	$1.43	$1.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.02 / $1.75	Professional		$1.02	$1.02	$1.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.46 / $1.84	Facility		$0.99	$1.46	$1.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.00 / $2.22	Professional		$0.83	$1.00	$2.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $58.40 / $85.00	Professional		$1.28	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.46 / $1.75	Facility		$0.99	$1.46	$1.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.02 / $1.75	Professional		$1.02	$1.02	$1.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.63 / $4.00	Professional		$1.75	$2.63	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $3.55 / $80.00	Facility		$3.42	$3.55	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $7.70 / $8.72	Professional		$0.90	$7.70	$8.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.75	Professional		$1.75	$1.75	$1.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.75	Professional		$1.75	$1.75	$1.75
United Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.88 / $1.63	Professional		$0.75	$0.88	$1.63