Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $2.56 / $87.69	Facility		$1.31	$2.56	$87.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.47 / $8.96	Professional		$1.35	$1.47	$8.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.69 / $1.69	Facility		$1.69	$1.69	$1.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.02	Professional		$1.35	$1.35	$2.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $2.00 / $2.16	Facility		$1.85	$2.00	$2.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $2.95 / $4.21	Facility		$1.35	$2.95	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.57 / $1.79	Professional		$1.24	$1.57	$1.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.35 / $2.86	Facility		$1.28	$1.35	$2.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.70 / $3.47	Professional		$1.92	$2.70	$3.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.99 / $100.00	Facility		$1.28	$1.99	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.28 / $2.70	Professional		$1.09	$1.28	$2.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $65.00 / $90.00	Professional		$1.19	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.35 / $2.86	Facility		$1.28	$1.35	$2.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.70 / $3.47	Professional		$1.92	$2.70	$3.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.57 / $4.54	Professional		$1.35	$1.57	$4.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.56 / $85.00 / $100.00	Facility		$7.56	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $3.15	Professional		$1.35	$1.35	$3.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.19 / $1.19	Professional		$1.19	$1.19	$1.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $1.90 / $2.80	Professional		$1.90	$1.90	$2.80
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.16	Professional		$1.35	$1.35	$2.16