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 / $0.23 / $0.28	Professional		$0.15	$0.23	$0.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.54 / $1.40	Professional		$0.30	$0.54	$1.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.32 / $0.73	Facility		$0.24	$0.32	$0.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.32 / $0.39	Professional		$0.30	$0.32	$0.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $1.00 / $1.40	Facility		$0.20	$1.00	$1.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.38 / $0.47	Professional		$0.17	$0.38	$0.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.30 / $0.41	Facility		$0.17	$0.30	$0.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.34 / $0.41	Professional		$0.19	$0.34	$0.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.37 / $100.00	Facility		$0.20	$0.37	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.17 / $0.37	Professional		$0.14	$0.17	$0.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $55.00 / $85.00	Professional		$0.15	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.30 / $0.41	Facility		$0.20	$0.30	$0.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.34 / $0.41	Professional		$0.19	$0.34	$0.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.79 / $1.02	Professional		$0.38	$0.79	$1.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $85.00 / $100.00	Facility		$0.25	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.20 / $0.89	Professional		$0.17	$0.20	$0.89
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.17 / $0.28	Professional		$0.11	$0.17	$0.28