Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $1.04 / $1.04	Facility		$1.04	$1.04	$1.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.99 / $1.04 / $4.20	Professional		$0.99	$1.04	$4.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $2.02	Facility		$1.23	$1.23	$2.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.13 / $1.35	Professional		$1.13	$1.13	$1.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.11 / $2.63 / $2.63	Facility		$1.11	$2.63	$2.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $4.21 / $6.46	Facility		$3.60	$4.21	$6.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $1.88 / $2.29	Professional		$0.72	$1.88	$2.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $1.23 / $1.87	Facility		$0.98	$1.23	$1.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $1.23 / $90.00	Facility		$0.98	$1.23	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $2.00 / $5.18	Professional		$0.70	$2.00	$5.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $65.00 / $90.00	Professional		$1.57	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $1.23 / $1.87	Facility		$0.98	$1.23	$1.87
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.87 / $3.17	Professional		$1.23	$1.87	$3.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.38 / $2.38 / $90.00	Facility		$2.38	$2.38	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $0.72	Professional		$0.72	$0.72	$0.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
United Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $1.99 / $4.95	Professional		$0.48	$1.99	$4.95