Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $2.73 / $3.23	Facility		$1.45	$2.73	$3.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.50 / $3.96	Professional		$1.45	$1.50	$3.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $1.81 / $1.81	Facility		$1.81	$1.81	$1.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $1.84	Professional		$1.45	$1.45	$1.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $1.99 / $2.31	Facility		$1.99	$1.99	$2.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $3.40 / $4.84	Facility		$1.45	$3.40	$4.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $2.43 / $2.76	Professional		$1.61	$2.43	$2.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.40 / $3.57	Facility		$1.32	$1.40	$3.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.90 / $2.90	Professional		$2.10	$2.90	$2.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.40 / $2.86	Facility		$1.32	$1.40	$2.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $2.90	Professional		$1.40	$1.40	$2.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $65.00 / $85.00	Professional		$1.57	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.40 / $3.57	Facility		$1.32	$1.40	$3.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.90 / $2.90	Professional		$2.10	$2.90	$2.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.04 / $4.00	Professional		$1.45	$2.04	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.45 / $105.19	Facility		$1.45	$1.45	$105.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $1.45	Professional		$1.45	$1.45	$1.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $1.40	Professional		$1.40	$1.40	$1.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.04 / $2.21	Professional		$1.75	$2.04	$2.21
United Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $2.31	Professional		$1.45	$1.45	$2.31