Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.41 / $4.53	Facility		$0.36	$0.41	$4.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.36 / $0.52	Professional		$0.17	$0.36	$0.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $1.02	Facility		$0.62	$0.62	$1.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $0.62 / $0.73	Professional		$0.57	$0.62	$0.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.53 / $0.80 / $1.33	Facility		$0.53	$0.80	$1.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.84 / $1.33	Professional		$0.60	$0.84	$1.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $2.11 / $2.80	Facility		$1.80	$2.11	$2.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.94 / $1.19	Professional		$0.31	$0.94	$1.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.43 / $0.62	Facility		$0.32	$0.43	$0.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.62	Professional		$0.30	$0.30	$0.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.43 / $0.65	Facility		$0.33	$0.43	$0.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.34 / $1.49	Professional		$0.28	$0.34	$1.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $65.00 / $85.00	Professional		$0.12	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.43 / $0.62	Facility		$0.32	$0.43	$0.62
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.62	Professional		$0.30	$0.30	$0.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.80 / $1.54	Professional		$0.62	$0.80	$1.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.26 / $80.00	Facility		$1.22	$1.26	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $2.75 / $4.28	Professional		$0.31	$2.75	$4.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $0.62	Professional		$0.62	$0.62	$0.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $0.62	Professional		$0.62	$0.62	$0.62
United Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.31 / $0.56	Professional		$0.25	$0.31	$0.56