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 $0.15 / $0.20 / $0.28	Professional		$0.15	$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 $0.28 / $0.42 / $1.12	Facility		$0.28	$0.42	$1.12
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 $0.26 / $0.38 / $0.48	Professional		$0.26	$0.38	$0.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.28 / $0.67	Facility		$0.20	$0.28	$0.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.32 / $0.53	Professional		$0.32	$0.32	$0.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.30 / $0.67	Facility		$0.20	$0.30	$0.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.30 / $0.68	Professional		$0.26	$0.30	$0.68
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 $0.20 / $0.30 / $0.67	Facility		$0.20	$0.30	$0.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.32 / $0.53	Professional		$0.32	$0.32	$0.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.79 / $1.00	Professional		$0.49	$0.79	$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 $0.26 / $1.70 / $40.00	Professional		$0.26	$1.70	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.27 / $0.45	Professional		$0.22	$0.27	$0.45