Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.32 / $0.90	Facility		$0.32	$0.32	$0.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.32 / $0.47	Professional		$0.20	$0.32	$0.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $0.54 / $0.89	Facility		$0.54	$0.54	$0.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.54 / $0.61	Professional		$0.50	$0.54	$0.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $0.81 / $1.15	Facility		$0.54	$0.81	$1.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.65 / $1.25	Professional		$0.42	$0.65	$1.25
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 $0.28 / $0.90 / $1.03	Professional		$0.28	$0.90	$1.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.46 / $0.54	Facility		$0.31	$0.46	$0.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.54	Professional		$0.33	$0.33	$0.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.46 / $0.56	Facility		$0.31	$0.46	$0.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.31 / $0.69	Professional		$0.26	$0.31	$0.69
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 $0.31 / $0.46 / $0.54	Facility		$0.31	$0.46	$0.54
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.54	Professional		$0.33	$0.33	$0.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.79 / $1.00	Professional		$0.54	$0.79	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.06 / $1.10 / $80.00	Facility		$1.06	$1.10	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $2.39 / $2.69	Professional		$0.28	$2.39	$2.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $0.54	Professional		$0.54	$0.54	$0.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $0.54	Professional		$0.54	$0.54	$0.54
United Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.28 / $0.53	Professional		$0.23	$0.28	$0.53