Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $0.86	Facility		$0.31	$0.31	$0.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.31 / $0.45	Professional		$0.24	$0.31	$0.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $0.86	Facility		$0.52	$0.52	$0.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.52 / $0.59	Professional		$0.48	$0.52	$0.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $1.11 / $1.11	Facility		$0.52	$1.11	$1.11
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 $0.21 / $0.87 / $0.99	Professional		$0.21	$0.87	$0.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.44 / $0.52	Facility		$0.30	$0.44	$0.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $0.52	Professional		$0.31	$0.31	$0.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.44 / $0.55	Facility		$0.30	$0.44	$0.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.30 / $0.67	Professional		$0.25	$0.30	$0.67
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 $0.30 / $0.44 / $0.52	Facility		$0.30	$0.44	$0.52
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $0.52	Professional		$0.31	$0.31	$0.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.78 / $1.00	Professional		$0.52	$0.78	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $1.06 / $80.00	Facility		$1.02	$1.06	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $2.29 / $3.54	Professional		$0.21	$2.29	$3.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.52	Professional		$0.52	$0.52	$0.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.52	Professional		$0.52	$0.52	$0.52
United Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.26 / $0.44	Professional		$0.22	$0.26	$0.44