Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.30 / $0.30	Facility		$0.30	$0.30	$0.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.33 / $0.42	Professional		$0.23	$0.33	$0.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $0.56 / $0.93	Facility		$0.51	$0.56	$0.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.47 / $0.62	Professional		$0.45	$0.47	$0.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.37 / $1.09 / $1.09	Facility		$0.37	$1.09	$1.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $1.80 / $2.80	Facility		$0.31	$1.80	$2.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.86 / $0.98	Professional		$0.26	$0.86	$0.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.43 / $0.59	Facility		$0.14	$0.43	$0.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.51 / $0.61	Professional		$0.30	$0.51	$0.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.54 / $80.00	Facility		$0.26	$0.54	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.27 / $0.61	Professional		$0.22	$0.27	$0.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $55.00 / $85.00	Professional		$0.26	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.45 / $0.59	Facility		$0.14	$0.45	$0.59
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.51 / $0.61	Professional		$0.30	$0.51	$0.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $0.76 / $1.00	Professional		$0.51	$0.76	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $1.00 / $80.00	Facility		$0.31	$1.00	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.31 / $3.54	Professional		$0.26	$0.31	$3.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $0.51 / $0.51	Professional		$0.51	$0.51	$0.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $0.51 / $0.51	Professional		$0.51	$0.51	$0.51
United Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.26 / $0.49	Professional		$0.17	$0.26	$0.49