Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $1.65 / $1.65	Facility		$1.65	$1.65	$1.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.65 / $6.59	Professional		$1.58	$1.65	$6.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $1.96 / $3.23	Facility		$1.96	$1.96	$3.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $2.15	Professional		$1.82	$1.82	$2.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $4.19 / $4.19	Facility		$1.76	$4.19	$4.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $6.32 / $9.69	Facility		$5.41	$6.32	$9.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $2.81 / $3.69	Professional		$1.65	$2.81	$3.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.96 / $2.06	Facility		$1.57	$1.96	$2.06
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.34 / $1.34	Professional		$1.34	$1.34	$1.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.96 / $85.00	Facility		$1.57	$1.96	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $3.24 / $8.25	Professional		$1.12	$3.24	$8.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $65.00 / $90.00	Professional		$2.45	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.96 / $2.06	Facility		$1.57	$1.96	$2.06
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.34 / $1.34	Professional		$1.34	$1.34	$1.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $3.60 / $6.02	Professional		$1.96	$3.60	$6.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.98 / $85.00	Facility		$3.80	$3.98	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.18 / $1.65	Professional		$1.18	$1.18	$1.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $2.71 / $2.71	Professional		$2.71	$2.71	$2.71
Security Health Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $3.19 / $3.19	Facility		$3.19	$3.19	$3.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $2.71 / $2.71	Professional		$2.71	$2.71	$2.71
United Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $3.15 / $7.76	Professional		$0.76	$3.15	$7.76