Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $4.19 / $4.95	Facility		$2.16	$4.19	$4.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.16 / $4.90	Professional		$2.10	$2.16	$4.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $3.89 / $4.68	Facility		$2.63	$3.89	$4.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.66	Professional		$2.10	$2.10	$2.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $2.87 / $3.36	Facility		$2.87	$2.87	$3.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $5.09 / $7.28	Facility		$2.10	$5.09	$7.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.09 / $3.51	Professional		$2.14	$3.09	$3.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.15 / $4.28	Facility		$1.66	$2.15	$4.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $4.20 / $4.20	Professional		$3.23	$4.20	$4.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.15 / $4.99	Facility		$1.66	$2.15	$4.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.15 / $4.20	Professional		$2.15	$2.15	$4.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $55.00 / $85.00	Professional		$2.10	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.15 / $4.28	Facility		$1.66	$2.15	$4.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $4.20 / $4.20	Professional		$3.23	$4.20	$4.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.35 / $6.60	Professional		$2.10	$2.35	$6.60
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 $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.95 / $2.95	Professional		$2.11	$2.95	$2.95
United Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Facility		$2.10	$2.10	$2.10
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $3.08	Professional		$2.10	$2.10	$3.08