Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.34 / $0.95	Facility		$0.23	$0.34	$0.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.34 / $0.50	Professional		$0.26	$0.34	$0.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.56 / $0.94	Facility		$0.56	$0.56	$0.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $0.56 / $0.64	Professional		$0.53	$0.56	$0.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.86 / $1.22	Facility		$0.56	$0.86	$1.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.68 / $1.33	Professional		$0.42	$0.68	$1.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $2.11 / $2.80	Facility		$1.80	$2.11	$2.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.94 / $1.09	Professional		$0.31	$0.94	$1.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.48 / $0.56	Facility		$0.32	$0.48	$0.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.56	Professional		$0.34	$0.34	$0.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.48 / $0.60	Facility		$0.34	$0.48	$0.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.34 / $0.73	Professional		$0.28	$0.34	$0.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.48 / $0.56	Facility		$0.32	$0.48	$0.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.56	Professional		$0.34	$0.34	$0.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.79 / $1.00	Professional		$0.56	$0.79	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.15 / $80.00	Facility		$1.12	$1.15	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $2.52 / $3.54	Professional		$0.31	$2.52	$3.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $0.56	Professional		$0.56	$0.56	$0.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $0.56	Professional		$0.56	$0.56	$0.56
United Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.28 / $0.55	Professional		$0.25	$0.28	$0.55