Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.33 / $1.33	Facility		$1.33	$1.33	$1.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.33 / $2.23	Professional		$1.11	$1.33	$2.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.89 / $4.79	Facility		$2.63	$2.89	$4.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.45 / $3.23	Professional		$2.36	$2.45	$3.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $5.63 / $5.63	Facility		$1.90	$5.63	$5.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $6.02 / $11.20	Facility		$2.08	$6.02	$11.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $3.81 / $4.98	Professional		$1.77	$3.81	$4.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $2.00 / $3.02	Facility		$0.76	$2.00	$3.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.54 / $3.16	Professional		$1.51	$2.54	$3.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $2.63 / $80.00	Facility		$1.30	$2.63	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.76 / $2.86	Professional		$1.19	$1.76	$2.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $2.00 / $3.02	Facility		$0.76	$2.00	$3.02
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.54 / $3.16	Professional		$1.51	$2.54	$3.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $4.04 / $7.03	Professional		$2.63	$4.04	$7.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $5.14 / $80.00	Facility		$2.08	$5.14	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.08 / $13.25	Professional		$1.77	$2.08	$13.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Professional		$2.63	$2.63	$2.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Professional		$2.63	$2.63	$2.63
United Facility/Professional Facility Modifier Low / Median / High Price $1.54 / $1.76 / $1.77	Facility		$1.54	$1.76	$1.77
United Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.58 / $2.63	Professional		$1.05	$1.58	$2.63