Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.92 / $0.92 / $0.92	Facility		$0.92	$0.92	$0.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.95 / $3.72	Professional		$0.48	$0.95	$3.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $1.59 / $2.62	Facility		$1.59	$1.59	$2.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.59 / $1.81	Professional		$1.48	$1.59	$1.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $3.40 / $3.40	Facility		$1.59	$3.40	$3.40
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 $0.81 / $2.34 / $3.00	Professional		$0.81	$2.34	$3.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $1.29 / $1.59	Facility		$0.89	$1.29	$1.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $0.91 / $1.59	Professional		$0.91	$0.91	$1.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $1.31 / $1.67	Facility		$0.89	$1.31	$1.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $0.86 / $4.30	Professional		$0.74	$0.86	$4.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $65.00 / $85.00	Professional		$1.70	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $1.31 / $1.59	Facility		$0.89	$1.31	$1.59
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $0.91 / $1.59	Professional		$0.91	$0.91	$1.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $2.39 / $4.00	Professional		$1.59	$2.39	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.23 / $80.00	Facility		$3.10	$3.23	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $6.98 / $7.92	Professional		$0.81	$6.98	$7.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.59 / $1.59	Professional		$1.59	$1.59	$1.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.59 / $1.59	Professional		$1.59	$1.59	$1.59
United Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.79 / $1.32	Professional		$0.66	$0.79	$1.32