Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $3.32 / $3.92	Facility		$1.75	$3.32	$3.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.75 / $3.90	Professional		$1.70	$1.75	$3.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $3.15 / $3.79	Facility		$2.13	$3.15	$3.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $2.15	Professional		$1.70	$1.70	$2.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $2.33 / $2.72	Facility		$2.33	$2.33	$2.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $4.01 / $5.75	Facility		$1.70	$4.01	$5.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $2.50 / $2.85	Professional		$1.69	$2.50	$2.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $1.70 / $1.70	Facility		$0.63	$1.70	$1.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $3.40 / $3.40	Professional		$0.54	$3.40	$3.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $1.70 / $1.70	Facility		$0.63	$1.70	$1.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $3.40	Professional		$1.70	$1.70	$3.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $65.00 / $85.00	Professional		$1.66	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $1.70 / $1.70	Facility		$0.63	$1.70	$1.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $3.40 / $3.40	Professional		$0.54	$3.40	$3.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.96 / $5.00	Professional		$1.70	$1.96	$5.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.39 / $2.39	Professional		$1.78	$2.39	$2.39
United Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $2.21	Professional		$1.70	$1.70	$2.21