Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $3.67 / $4.30	Facility		$1.90	$3.67	$4.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.90 / $4.01	Professional		$1.85	$1.90	$4.01
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 / $4.47 / $6.39	Facility		$1.85	$4.47	$6.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.73 / $3.10	Professional		$1.85	$2.73	$3.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.85 / $1.88	Facility		$1.07	$1.85	$1.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $3.70 / $3.70	Professional		$0.80	$3.70	$3.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.88 / $1.88	Facility		$1.07	$1.88	$1.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $3.70	Professional		$1.88	$1.88	$3.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $65.00 / $85.00	Professional		$1.85	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.85 / $1.88	Facility		$1.07	$1.85	$1.88
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $3.70 / $3.70	Professional		$0.80	$3.70	$3.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.35 / $6.00	Professional		$1.84	$2.35	$6.00
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 $1.85 / $1.85 / $1.85	Professional		$1.85	$1.85	$1.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.60 / $2.60	Professional		$1.88	$2.60	$2.60
United Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.41	Professional		$1.85	$1.85	$2.41