Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $3.00 / $3.55	Facility		$1.59	$3.00	$3.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $1.72 / $3.43	Professional		$1.67	$1.72	$3.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $3.09 / $3.72	Facility		$2.09	$3.09	$3.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $1.67 / $2.12	Professional		$1.67	$1.67	$2.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.67	Facility		$2.29	$2.29	$2.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $3.57 / $5.11	Facility		$1.67	$3.57	$5.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.00 / $2.29	Professional		$1.58	$2.00	$2.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.54 / $3.57	Facility		$0.99	$1.54	$3.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.34 / $3.34	Professional		$2.31	$3.34	$3.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.54 / $3.57	Facility		$0.99	$1.54	$3.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.54 / $3.23	Professional		$1.54	$1.54	$3.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $65.00 / $85.00	Professional		$1.49	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.54 / $3.57	Facility		$0.99	$1.54	$3.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.34 / $3.34	Professional		$2.31	$3.34	$3.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $1.96 / $5.00	Professional		$1.67	$1.96	$5.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $1.67 / $100.00	Facility		$1.67	$1.67	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $1.67 / $1.67	Professional		$1.67	$1.67	$1.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $2.34 / $2.34	Professional		$1.52	$2.34	$2.34
United Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $1.67 / $1.67	Facility		$1.67	$1.67	$1.67
United Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $1.67 / $2.29	Professional		$1.67	$1.67	$2.29