Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Facility		$2.02	$2.02	$2.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $2.20 / $2.80	Professional		$1.52	$2.20	$2.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.84 / $6.35	Facility		$3.49	$3.84	$6.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $3.25 / $4.29	Professional		$3.18	$3.25	$4.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $7.47 / $7.47	Facility		$2.50	$7.47	$7.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $9.01 / $14.00	Facility		$2.09	$9.01	$14.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $5.24 / $6.61	Professional		$1.78	$5.24	$6.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $2.92 / $4.01	Facility		$0.95	$2.92	$4.01
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $3.49 / $4.19	Professional		$1.99	$3.49	$4.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $3.65 / $80.00	Facility		$1.70	$3.65	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.78 / $4.03	Professional		$1.48	$1.78	$4.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.26 / $55.00 / $85.00	Professional		$2.26	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $3.05 / $4.01	Facility		$0.95	$3.05	$4.01
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $3.49 / $4.19	Professional		$1.99	$3.49	$4.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $5.28 / $9.02	Professional		$3.49	$5.28	$9.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $6.82 / $80.00	Facility		$2.54	$6.82	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.15 / $17.38	Professional		$1.78	$2.15	$17.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $3.49 / $3.49	Professional		$3.49	$3.49	$3.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $3.49 / $3.49	Professional		$3.49	$3.49	$3.49
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.73 / $3.32	Professional		$1.15	$1.73	$3.32