Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Facility		$0.20	$0.20	$0.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.22 / $0.28	Professional		$0.20	$0.22	$0.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.39 / $0.64	Facility		$0.35	$0.39	$0.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.43	Professional		$0.33	$0.33	$0.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.75 / $0.75	Facility		$0.25	$0.75	$0.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.90 / $1.40	Facility		$0.21	$0.90	$1.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.48 / $0.66	Professional		$0.18	$0.48	$0.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.28 / $0.40	Facility		$0.10	$0.28	$0.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.35 / $0.42	Professional		$0.21	$0.35	$0.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.36 / $80.00	Facility		$0.18	$0.36	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.18 / $0.38	Professional		$0.14	$0.18	$0.38
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 $0.10 / $0.30 / $0.40	Facility		$0.10	$0.30	$0.40
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.35 / $0.42	Professional		$0.21	$0.35	$0.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.53 / $1.00	Professional		$0.35	$0.53	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.68 / $80.00	Facility		$0.21	$0.68	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.21 / $3.54	Professional		$0.18	$0.21	$3.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $0.35	Professional		$0.35	$0.35	$0.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $0.35	Professional		$0.35	$0.35	$0.35
United Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.17 / $0.28	Professional		$0.12	$0.17	$0.28