Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Facility		$0.26	$0.26	$0.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.28 / $0.37	Professional		$0.26	$0.28	$0.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.50 / $0.82	Facility		$0.45	$0.50	$0.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.42 / $0.55	Professional		$0.42	$0.42	$0.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.96 / $0.96	Facility		$0.33	$0.96	$0.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.90 / $1.40	Facility		$0.27	$0.90	$1.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.48 / $0.85	Professional		$0.23	$0.48	$0.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.38 / $0.52	Facility		$0.13	$0.38	$0.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.45 / $0.54	Professional		$0.26	$0.45	$0.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.47 / $80.00	Facility		$0.22	$0.47	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.23 / $0.53	Professional		$0.19	$0.23	$0.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $55.00 / $85.00	Professional		$0.30	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.39 / $0.52	Facility		$0.13	$0.39	$0.52
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.45 / $0.54	Professional		$0.26	$0.45	$0.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.68 / $1.00	Professional		$0.45	$0.68	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.88 / $80.00	Facility		$0.27	$0.88	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.27 / $3.54	Professional		$0.23	$0.27	$3.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.45	Professional		$0.45	$0.45	$0.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.45	Professional		$0.45	$0.45	$0.45
United Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.21 / $0.28	Facility		$0.16	$0.21	$0.28
United Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.23 / $0.44	Professional		$0.16	$0.23	$0.44