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 $0.04 / $0.20 / $0.28	Professional		$0.04	$0.20	$0.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.65 / $1.40	Professional		$0.32	$0.65	$1.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.30 / $0.42	Facility		$0.21	$0.30	$0.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.39 / $0.66	Professional		$0.32	$0.39	$0.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.05 / $1.40	Facility		$0.90	$1.05	$1.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.12 / $0.47	Professional		$0.06	$0.12	$0.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.27 / $0.67	Facility		$0.14	$0.27	$0.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.26	Professional		$0.14	$0.14	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.27 / $0.67	Facility		$0.14	$0.27	$0.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.08 / $0.33	Professional		$0.07	$0.08	$0.33
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 $0.14 / $0.27 / $0.67	Facility		$0.14	$0.27	$0.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.26	Professional		$0.14	$0.14	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.77 / $1.00	Professional		$0.20	$0.77	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.64 / $90.00	Facility		$0.63	$0.64	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $1.70 / $5.31	Professional		$0.06	$1.70	$5.31
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.07 / $0.12	Professional		$0.05	$0.07	$0.12