Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.45 / $1.29	Facility		$0.45	$0.45	$1.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.45 / $0.67	Professional		$0.34	$0.45	$0.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $0.78 / $1.29	Facility		$0.78	$0.78	$1.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.73 / $0.78 / $0.88	Professional		$0.73	$0.78	$0.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $1.67 / $1.67	Facility		$0.78	$1.67	$1.67
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 $0.40 / $0.94 / $1.48	Professional		$0.40	$0.94	$1.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.64 / $0.78	Facility		$0.44	$0.64	$0.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.78	Professional		$0.45	$0.45	$0.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.64 / $0.81	Facility		$0.44	$0.64	$0.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.44 / $0.99	Professional		$0.36	$0.44	$0.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $65.00 / $85.00	Professional		$0.25	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.64 / $0.78	Facility		$0.44	$0.64	$0.78
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.78	Professional		$0.45	$0.45	$0.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.17 / $2.00	Professional		$0.78	$1.17	$2.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.58 / $80.00	Facility		$1.52	$1.58	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $3.42 / $3.88	Professional		$0.40	$3.42	$3.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.78 / $0.78	Professional		$0.78	$0.78	$0.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.78 / $0.78	Professional		$0.78	$0.78	$0.78
United Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.39 / $0.72	Professional		$0.33	$0.39	$0.72