Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $1.32	Facility		$0.23	$0.23	$1.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.23 / $0.33	Professional		$0.17	$0.23	$0.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.39 / $0.64	Facility		$0.39	$0.39	$0.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.39 / $0.44	Professional		$0.36	$0.39	$0.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.83 / $0.83	Facility		$0.39	$0.83	$0.83
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 $0.20 / $0.47 / $0.74	Professional		$0.20	$0.47	$0.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.32 / $0.88	Facility		$0.22	$0.32	$0.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.39	Professional		$0.23	$0.23	$0.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.32 / $2.98	Facility		$0.22	$0.32	$2.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.22 / $0.49	Professional		$0.19	$0.22	$0.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $65.00 / $85.00	Professional		$0.23	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.32 / $0.88	Facility		$0.22	$0.32	$0.88
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.39	Professional		$0.23	$0.23	$0.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.59 / $1.00	Professional		$0.39	$0.59	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $0.79 / $80.00	Facility		$0.76	$0.79	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $1.71 / $1.94	Professional		$0.20	$1.71	$1.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.39	Professional		$0.39	$0.39	$0.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.39	Professional		$0.39	$0.39	$0.39
United Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.19 / $0.36	Professional		$0.13	$0.19	$0.36