Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $2.33 / $2.33	Facility		$2.33	$2.33	$2.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.54 / $3.23	Professional		$2.25	$2.54	$3.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.41 / $7.30	Facility		$4.01	$4.41	$7.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $3.73 / $5.25	Professional		$3.73	$3.73	$5.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $8.58 / $8.58	Facility		$2.88	$8.58	$8.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $10.81 / $16.79	Facility		$2.41	$10.81	$16.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $5.72 / $7.60	Professional		$2.04	$5.72	$7.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $3.36 / $4.61	Facility		$1.10	$3.36	$4.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.01 / $4.80	Professional		$2.29	$4.01	$4.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $4.19 / $80.00	Facility		$1.95	$4.19	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.02 / $4.65	Professional		$1.70	$2.02	$4.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $55.00 / $85.00	Professional		$2.60	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $3.50 / $4.61	Facility		$1.10	$3.50	$4.61
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.01 / $4.80	Professional		$2.29	$4.01	$4.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $6.17 / $10.03	Professional		$4.01	$6.17	$10.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $7.84 / $80.00	Facility		$2.41	$7.84	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.41 / $19.97	Professional		$2.04	$2.41	$19.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01
United Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $2.00 / $3.83	Professional		$1.33	$2.00	$3.83