Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $2.36 / $2.77	Facility		$1.24	$2.36	$2.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.26 / $2.08	Professional		$1.23	$1.26	$2.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.54 / $2.27 / $2.74	Facility		$1.54	$2.27	$2.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.56	Professional		$1.23	$1.23	$1.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $1.68 / $1.97	Facility		$1.68	$1.68	$1.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $2.68 / $3.83	Facility		$1.23	$2.68	$3.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.72 / $1.95	Professional		$1.15	$1.72	$1.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.21 / $2.86	Facility		$1.21	$1.21	$2.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.46 / $2.46	Professional		$1.82	$2.46	$2.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.21 / $2.86	Facility		$1.21	$1.21	$2.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.21 / $2.46	Professional		$1.21	$1.21	$2.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $65.00 / $85.00	Professional		$1.10	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.21 / $2.86	Facility		$1.21	$1.21	$2.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.46 / $2.46	Professional		$1.82	$2.46	$2.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.29 / $3.30	Professional		$1.23	$1.29	$3.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $85.00	Facility		$1.23	$1.23	$85.00
Quartz 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 Professional Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Professional		$1.73	$1.73	$1.73
United Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Facility		$1.23	$1.23	$1.23
United Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.72	Professional		$1.23	$1.23	$1.72