Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $1.53 / $1.53	Facility		$1.53	$1.53	$1.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $7.60 / $17.00	Professional		$1.53	$7.60	$17.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $4.34	Facility		$2.63	$2.63	$4.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.63 / $2.99	Professional		$2.45	$2.63	$2.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $5.63 / $5.63	Facility		$2.63	$5.63	$5.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $3.68 / $6.10	Professional		$2.76	$3.68	$6.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $8.42 / $11.20	Facility		$7.21	$8.42	$11.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $3.75 / $4.98	Professional		$1.08	$3.75	$4.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $2.20 / $7.94	Facility		$1.53	$2.20	$7.94
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $13.90	Professional		$2.63	$2.63	$13.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $2.20 / $7.94	Facility		$1.53	$2.20	$7.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.49 / $13.90	Professional		$1.22	$1.49	$13.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $65.00 / $85.00	Professional		$1.54	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $2.20 / $7.94	Facility		$1.53	$2.20	$7.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $13.90	Professional		$2.63	$2.63	$13.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.95 / $7.00	Professional		$2.63	$3.95	$7.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $19.84 / $90.00	Facility		$5.34	$19.84	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $11.57 / $167.85	Professional		$1.08	$11.57	$167.85
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 / $23.45	Professional		$2.63	$2.63	$23.45
United Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $1.31 / $2.19	Professional		$0.93	$1.31	$2.19