Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.96 / $4.50	Facility		$2.02	$2.96	$4.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.81 / $5.91	Professional		$2.39	$2.81	$5.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $3.41 / $3.41	Facility		$3.41	$3.41	$3.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $4.09	Professional		$2.73	$2.73	$4.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $4.04 / $4.37	Facility		$3.74	$4.04	$4.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $5.81 / $8.30	Facility		$2.73	$5.81	$8.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $6.39 / $7.26	Professional		$1.73	$6.39	$7.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $2.73 / $5.70	Facility		$1.97	$2.73	$5.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $5.46 / $5.46	Professional		$2.96	$5.46	$5.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $2.73 / $100.00	Facility		$1.97	$2.73	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.97 / $5.46	Professional		$1.48	$1.97	$5.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $65.00 / $90.00	Professional		$1.70	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $2.73 / $5.70	Facility		$1.97	$2.73	$5.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $5.46 / $5.46	Professional		$2.96	$5.46	$5.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.73 / $6.81	Professional		$2.72	$2.73	$6.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $85.00 / $100.00	Facility		$6.46	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $6.46	Professional		$2.73	$2.73	$6.46
Security Health 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 $3.83 / $3.83 / $14.15	Professional		$3.83	$3.83	$14.15
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.73 / $4.37	Professional		$2.31	$2.73	$4.37