Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $0.40 / $1.14	Facility		$0.40	$0.40	$1.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.40 / $0.55	Professional		$0.25	$0.40	$0.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $0.69 / $1.13	Facility		$0.69	$0.69	$1.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $0.69 / $0.78	Professional		$0.64	$0.69	$0.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $1.48 / $1.48	Facility		$0.69	$1.48	$1.48
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 $0.28 / $0.94 / $1.30	Professional		$0.28	$0.94	$1.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.55 / $0.69	Facility		$0.35	$0.55	$0.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $0.69 / $0.69	Professional		$0.69	$0.69	$0.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.55 / $0.72	Facility		$0.35	$0.55	$0.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.36 / $0.87	Professional		$0.31	$0.36	$0.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.55 / $0.69	Facility		$0.35	$0.55	$0.69
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $0.69 / $0.69	Professional		$0.69	$0.69	$0.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $1.04 / $2.00	Professional		$0.69	$1.04	$2.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.40 / $80.00	Facility		$1.34	$1.40	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $3.02 / $3.87	Professional		$0.28	$3.02	$3.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $0.69 / $0.69	Professional		$0.69	$0.69	$0.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $0.69 / $0.69	Professional		$0.69	$0.69	$0.69
United Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.34 / $0.64	Professional		$0.28	$0.34	$0.64