Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $0.51 / $1.46	Facility		$0.51	$0.51	$1.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.51 / $2.52	Professional		$0.25	$0.51	$2.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $0.88 / $1.45	Facility		$0.88	$0.88	$1.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.88 / $1.00	Professional		$0.82	$0.88	$1.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.88 / $1.88	Facility		$0.88	$1.88	$1.88
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 $0.45 / $1.41 / $1.66	Professional		$0.45	$1.41	$1.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.72 / $0.88	Facility		$0.50	$0.72	$0.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.49 / $0.88	Professional		$0.49	$0.49	$0.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.72 / $0.92	Facility		$0.50	$0.72	$0.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.49 / $1.12	Professional		$0.40	$0.49	$1.12
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 $0.50 / $0.72 / $0.88	Facility		$0.50	$0.72	$0.88
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.49 / $0.88	Professional		$0.49	$0.49	$0.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $1.32 / $2.00	Professional		$0.88	$1.32	$2.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $1.79 / $80.00	Facility		$1.72	$1.79	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $3.87 / $4.38	Professional		$0.45	$3.87	$4.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $0.88	Professional		$0.88	$0.88	$0.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $0.88	Professional		$0.88	$0.88	$0.88
United Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.44 / $0.82	Professional		$0.37	$0.44	$0.82