Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.26 / $0.73	Facility		$0.26	$0.26	$0.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.26 / $0.77	Professional		$0.20	$0.26	$0.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.44 / $0.73	Facility		$0.44	$0.44	$0.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.44 / $0.50	Professional		$0.41	$0.44	$0.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.94 / $0.94	Facility		$0.44	$0.94	$0.94
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 $0.22 / $0.47 / $0.84	Professional		$0.22	$0.47	$0.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.37 / $0.44	Facility		$0.25	$0.37	$0.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.44	Professional		$0.26	$0.26	$0.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.37 / $0.46	Facility		$0.26	$0.37	$0.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.25 / $0.56	Professional		$0.21	$0.25	$0.56
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 $0.25 / $0.37 / $0.44	Facility		$0.25	$0.37	$0.44
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.44	Professional		$0.26	$0.26	$0.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.66 / $1.00	Professional		$0.44	$0.66	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.86 / $0.89 / $80.00	Facility		$0.86	$0.89	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $1.94 / $2.19	Professional		$0.22	$1.94	$2.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.44 / $0.44	Professional		$0.44	$0.44	$0.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.44 / $0.44	Professional		$0.44	$0.44	$0.44
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.22 / $0.41	Professional		$0.19	$0.22	$0.41