Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $0.72 / $0.72	Facility		$0.72	$0.72	$0.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.72 / $2.85	Professional		$0.70	$0.72	$2.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $1.32	Facility		$0.80	$0.80	$1.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $0.74 / $0.88	Professional		$0.74	$0.74	$0.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $1.71 / $1.71	Facility		$0.72	$1.71	$1.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $2.11 / $3.23	Facility		$1.80	$2.11	$3.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.41 / $1.80	Professional		$1.12	$1.41	$1.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $0.80 / $1.02	Facility		$0.64	$0.80	$1.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $0.54	Professional		$0.54	$0.54	$0.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $0.80 / $90.00	Facility		$0.64	$0.80	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $1.50 / $3.84	Professional		$0.49	$1.50	$3.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $65.00 / $90.00	Professional		$1.22	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $0.80 / $1.02	Facility		$0.64	$0.80	$1.02
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $0.54	Professional		$0.54	$0.54	$0.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.21 / $1.85	Professional		$0.80	$1.21	$1.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.79 / $90.00	Facility		$1.62	$1.79	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.80 / $1.80	Professional		$1.80	$1.80	$1.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
Security Health Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
United Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $1.33 / $3.75	Professional		$0.33	$1.33	$3.75