Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $1.58 / $86.76	Facility		$0.56	$1.58	$86.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.56 / $0.82	Professional		$0.41	$0.56	$0.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $0.95 / $1.57	Facility		$0.95	$0.95	$1.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.95 / $1.08	Professional		$0.88	$0.95	$1.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $2.02 / $2.02	Facility		$0.95	$2.02	$2.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.70 / $3.16 / $4.20	Facility		$2.70	$3.16	$4.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $1.41 / $1.80	Professional		$0.49	$1.41	$1.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $0.79 / $0.95	Facility		$0.54	$0.79	$0.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $0.95	Professional		$0.54	$0.54	$0.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $0.79 / $1.00	Facility		$0.54	$0.79	$1.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.54 / $1.21	Professional		$0.44	$0.54	$1.21
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 $0.54 / $0.79 / $0.95	Facility		$0.54	$0.79	$0.95
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $0.95	Professional		$0.54	$0.54	$0.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $1.43 / $2.00	Professional		$0.95	$1.43	$2.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.93 / $80.00	Facility		$1.86	$1.93	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $4.19 / $4.73	Professional		$0.49	$4.19	$4.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.95 / $0.95	Professional		$0.95	$0.95	$0.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.95 / $0.95	Professional		$0.95	$0.95	$0.95
United Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.48 / $0.89	Professional		$0.34	$0.48	$0.89