Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $3.66 / $4.21	Facility		$1.89	$3.66	$4.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.85 / $2.20	Professional		$1.83	$1.85	$2.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Facility		$2.29	$2.29	$2.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $2.47	Professional		$1.83	$1.83	$2.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.71 / $2.93	Facility		$2.50	$2.71	$2.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $3.53 / $6.13	Facility		$1.83	$3.53	$6.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $2.04 / $3.06	Professional		$1.83	$2.04	$3.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.83 / $2.00	Facility		$1.62	$1.83	$2.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.66 / $3.66	Professional		$2.75	$3.66	$3.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.83 / $2.02	Facility		$1.62	$1.83	$2.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $552.48	Professional		$1.83	$1.83	$552.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $1.83 / $2.00	Facility		$1.49	$1.83	$2.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.66 / $3.66	Professional		$2.75	$3.66	$3.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $2.17 / $6.00	Professional		$1.83	$2.17	$6.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $95.00 / $95.00	Facility		$85.00	$95.00	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $3.32 / $552.48	Professional		$1.83	$3.32	$552.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $1.83	Professional		$1.83	$1.83	$1.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $2.57 / $2.57	Professional		$1.61	$2.57	$2.57
United Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $2.31	Professional		$1.83	$1.83	$2.31