Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $2.48 / $2.92	Facility		$1.31	$2.48	$2.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.33 / $2.18	Professional		$1.29	$1.33	$2.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $2.39 / $2.88	Facility		$1.61	$2.39	$2.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.63	Professional		$1.29	$1.29	$1.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $1.76 / $2.06	Facility		$1.76	$1.76	$2.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $3.13 / $4.47	Facility		$1.29	$3.13	$4.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $2.02 / $2.29	Professional		$1.31	$2.02	$2.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.27 / $2.86	Facility		$0.99	$1.27	$2.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.58 / $2.58	Professional		$1.91	$2.58	$2.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.27 / $2.86	Facility		$0.99	$1.27	$2.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.27 / $2.58	Professional		$1.27	$1.27	$2.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $65.00 / $85.00	Professional		$1.28	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.27 / $2.86	Facility		$0.99	$1.27	$2.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.58 / $2.58	Professional		$1.91	$2.58	$2.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.57 / $4.00	Professional		$1.28	$1.57	$4.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.29	Professional		$1.29	$1.29	$1.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.81 / $1.81	Professional		$1.28	$1.81	$1.81
United Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.29 / $1.29	Facility		$1.29	$1.29	$1.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $2.06	Professional		$1.29	$1.29	$2.06