Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $1.13 / $1.13	Facility		$1.13	$1.13	$1.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.25 / $1.59	Professional		$1.10	$1.25	$1.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $2.17 / $3.59	Facility		$1.97	$2.17	$3.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $1.83 / $2.42	Professional		$1.77	$1.83	$2.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $4.22 / $4.22	Facility		$1.42	$4.22	$4.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $5.41 / $8.40	Facility		$1.18	$5.41	$8.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.86 / $3.73	Professional		$1.00	$2.86	$3.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $1.65 / $2.27	Facility		$0.54	$1.65	$2.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.97 / $2.36	Professional		$1.12	$1.97	$2.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $2.04 / $80.00	Facility		$0.96	$2.04	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.00 / $2.27	Professional		$0.83	$1.00	$2.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $55.00 / $85.00	Professional		$1.06	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $1.71 / $2.27	Facility		$0.54	$1.71	$2.27
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.97 / $2.36	Professional		$1.12	$1.97	$2.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $3.02 / $5.01	Professional		$1.97	$3.02	$5.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.44 / $3.84 / $80.00	Facility		$1.44	$3.84	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.22 / $9.81	Professional		$1.00	$1.22	$9.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $1.97 / $1.97	Professional		$1.97	$1.97	$1.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $1.97 / $1.97	Professional		$1.97	$1.97	$1.97
United Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.98 / $1.89	Professional		$0.66	$0.98	$1.89