Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $3.61 / $4.24	Facility		$1.90	$3.61	$4.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.91 / $3.18	Professional		$1.85	$1.91	$3.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $3.42 / $4.13	Facility		$2.31	$3.42	$4.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.34	Professional		$1.85	$1.85	$2.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $2.52 / $2.96	Facility		$2.52	$2.52	$2.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $4.55 / $6.51	Facility		$1.85	$4.55	$6.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.84 / $3.23	Professional		$1.88	$2.84	$3.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.85 / $4.28	Facility		$1.85	$1.85	$4.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.70 / $3.70	Professional		$2.78	$3.70	$3.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.85 / $4.88	Facility		$1.85	$1.85	$4.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $3.70	Professional		$1.85	$1.85	$3.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $65.00 / $85.00	Professional		$1.83	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.85 / $4.28	Facility		$1.85	$1.85	$4.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.70 / $3.70	Professional		$2.78	$3.70	$3.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.35 / $6.60	Professional		$1.85	$2.35	$6.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.85 / $85.00	Facility		$1.85	$1.85	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $1.85	Professional		$1.85	$1.85	$1.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $2.60	Professional		$2.60	$2.60	$2.60
United Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.52	Professional		$1.85	$1.85	$2.52