Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $3.12 / $3.59	Facility		$1.91	$3.12	$3.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.87 / $2.23	Professional		$1.86	$1.87	$2.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $3.42 / $4.13	Facility		$2.33	$3.42	$4.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $2.50	Professional		$1.86	$1.86	$2.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.75 / $2.98	Facility		$2.54	$2.75	$2.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $3.17 / $5.49	Facility		$1.86	$3.17	$5.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.25 / $2.81	Professional		$1.86	$2.25	$2.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.56 / $1.86 / $2.09	Facility		$1.56	$1.86	$2.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.72 / $3.72	Professional		$2.34	$3.72	$3.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.56 / $1.56 / $1.80	Facility		$1.56	$1.56	$1.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $1.56 / $7.16	Professional		$1.56	$1.56	$7.16
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 $1.56 / $1.86 / $2.06	Facility		$1.56	$1.86	$2.06
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.72 / $3.72	Professional		$2.34	$3.72	$3.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.15 / $5.50	Professional		$1.86	$2.15	$5.50
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 $1.86 / $3.76 / $7.16	Professional		$1.86	$3.76	$7.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $1.56 / $1.56	Professional		$1.56	$1.56	$1.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $2.61 / $3.48	Professional		$1.56	$2.61	$3.48
United Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $2.42	Professional		$1.86	$1.86	$2.42