Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.26 / $5.07	Professional		$1.22	$1.26	$5.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $1.47 / $2.43	Facility		$1.47	$1.47	$2.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.37 / $1.37 / $1.61	Professional		$1.37	$1.37	$1.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $3.15 / $3.15	Facility		$1.32	$3.15	$3.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $5.27 / $8.08	Facility		$4.51	$5.27	$8.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.44 / $2.78	Professional		$1.88	$2.44	$2.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $1.47 / $2.27	Facility		$1.18	$1.47	$2.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.07	Professional		$1.07	$1.07	$1.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $1.47 / $90.00	Facility		$1.18	$1.47	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $2.44 / $6.24	Professional		$0.85	$2.44	$6.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $65.00 / $90.00	Professional		$1.91	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $1.47 / $2.27	Facility		$1.18	$1.47	$2.27
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.07	Professional		$1.07	$1.07	$1.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $2.21 / $3.17	Professional		$1.47	$2.21	$3.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $2.86 / $90.00	Facility		$2.86	$2.86	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $2.47	Professional		$2.47	$2.47	$2.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Security Health Facility/Professional Facility Modifier Low / Median / High Price $1.94 / $1.94 / $1.94	Facility		$1.94	$1.94	$1.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $2.29 / $6.01	Professional		$0.56	$2.29	$6.01