Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.42 / $0.42	Facility		$0.42	$0.42	$0.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.42 / $1.60	Professional		$0.39	$0.42	$1.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $0.46 / $0.76	Facility		$0.46	$0.46	$0.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.43 / $0.50	Professional		$0.43	$0.43	$0.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.41 / $0.98	Facility		$0.41	$0.41	$0.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.05 / $1.62	Facility		$0.90	$1.05	$1.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.47 / $0.88	Professional		$0.33	$0.47	$0.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.37 / $0.46 / $0.76	Facility		$0.37	$0.46	$0.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.37 / $0.46 / $90.00	Facility		$0.37	$0.46	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.82 / $2.12	Professional		$0.28	$0.82	$2.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $65.00 / $90.00	Professional		$0.67	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.37 / $0.46 / $0.76	Facility		$0.37	$0.46	$0.76
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.70 / $1.05	Professional		$0.42	$0.70	$1.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $0.99 / $90.00	Facility		$0.93	$0.99	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.33	Professional		$0.33	$0.33	$0.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $0.70	Professional		$0.70	$0.70	$0.70
Security Health Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Facility		$0.90	$0.90	$0.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $0.70	Professional		$0.70	$0.70	$0.70
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.82 / $2.12	Professional		$0.19	$0.82	$2.12