Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.13 / $0.38	Facility		$0.13	$0.13	$0.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.13 / $0.19	Professional		$0.10	$0.13	$0.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $0.38	Facility		$0.23	$0.23	$0.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.23 / $0.26	Professional		$0.21	$0.23	$0.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.49 / $0.49	Facility		$0.23	$0.49	$0.49
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 $0.11 / $0.37 / $0.47	Professional		$0.11	$0.37	$0.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.18 / $0.52	Facility		$0.13	$0.18	$0.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.23	Professional		$0.14	$0.14	$0.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.18 / $5.95	Facility		$0.13	$0.18	$5.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.13 / $0.28	Professional		$0.11	$0.13	$0.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $65.00 / $85.00	Professional		$0.15	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.18 / $0.52	Facility		$0.13	$0.18	$0.52
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.23	Professional		$0.14	$0.14	$0.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.35 / $1.00	Professional		$0.23	$0.35	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.52 / $80.00	Facility		$0.44	$0.52	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.99 / $1.14	Professional		$0.11	$0.99	$1.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Professional		$0.23	$0.23	$0.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Professional		$0.23	$0.23	$0.23
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.11 / $0.18	Professional		$0.09	$0.11	$0.18