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 / $0.26	Professional		$0.15	$0.20	$0.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.34 / $0.56	Facility		$0.34	$0.34	$0.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.34 / $0.38	Professional		$0.32	$0.34	$0.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.51 / $0.73	Facility		$0.34	$0.51	$0.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.42 / $0.78	Professional		$0.36	$0.42	$0.78
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 $0.17 / $0.47 / $0.64	Professional		$0.17	$0.47	$0.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.28 / $0.34	Facility		$0.19	$0.28	$0.34
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.34	Professional		$0.34	$0.34	$0.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.28 / $0.36	Facility		$0.19	$0.28	$0.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.18 / $0.43	Professional		$0.16	$0.18	$0.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $65.00 / $85.00	Professional		$0.22	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.28 / $0.34	Facility		$0.19	$0.28	$0.34
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.34	Professional		$0.34	$0.34	$0.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.51 / $1.00	Professional		$0.34	$0.51	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.69 / $80.00	Facility		$0.66	$0.69	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $1.49 / $25.00	Professional		$0.17	$1.49	$25.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.34	Professional		$0.34	$0.34	$0.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.34	Professional		$0.34	$0.34	$0.34
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.17 / $0.28	Professional		$0.14	$0.17	$0.28