Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Facility		$0.09	$0.09	$0.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.10 / $0.13	Professional		$0.09	$0.10	$0.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.17 / $0.27	Facility		$0.15	$0.17	$0.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.18	Professional		$0.14	$0.14	$0.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.32 / $0.32	Facility		$0.11	$0.32	$0.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $1.00 / $1.40	Facility		$0.09	$1.00	$1.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.28 / $0.47	Professional		$0.08	$0.28	$0.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.13 / $0.17	Facility		$0.05	$0.13	$0.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.15 / $0.18	Professional		$0.10	$0.15	$0.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.16 / $80.00	Facility		$0.08	$0.16	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.08 / $0.17	Professional		$0.07	$0.08	$0.17
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 $0.05 / $0.14 / $0.17	Facility		$0.05	$0.14	$0.17
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.15 / $0.18	Professional		$0.10	$0.15	$0.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.37 / $1.00	Professional		$0.15	$0.37	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.30 / $80.00	Facility		$0.09	$0.30	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $3.54	Professional		$0.08	$0.09	$3.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.08 / $0.14	Professional		$0.05	$0.08	$0.14