Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $2.29 / $2.70	Facility		$1.14	$2.29	$2.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.14 / $3.56	Professional		$1.12	$1.14	$3.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $2.06 / $2.50	Facility		$1.40	$2.06	$2.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.42	Professional		$1.12	$1.12	$1.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.54 / $1.54 / $1.79	Facility		$1.54	$1.54	$1.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $3.04 / $4.34	Facility		$1.12	$3.04	$4.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.99 / $2.25	Professional		$1.24	$1.99	$2.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.18 / $2.13	Facility		$1.12	$1.18	$2.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.24 / $2.24	Professional		$1.77	$2.24	$2.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $1.18 / $2.86	Facility		$1.18	$1.18	$2.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.18 / $2.24	Professional		$1.18	$1.18	$2.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $65.00 / $85.00	Professional		$1.19	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.18 / $2.13	Facility		$1.12	$1.18	$2.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.24 / $2.24	Professional		$1.77	$2.24	$2.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.57 / $4.40	Professional		$1.11	$1.57	$4.40
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 $1.12 / $1.12 / $1.12	Professional		$1.12	$1.12	$1.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $1.57	Professional		$1.57	$1.57	$1.57
United Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.12 / $1.12	Facility		$1.12	$1.12	$1.12
United Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.68	Professional		$1.12	$1.12	$1.68