Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $0.69 / $0.69	Facility		$0.69	$0.69	$0.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.69 / $2.78	Professional		$0.67	$0.69	$2.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.86 / $0.86 / $1.42	Facility		$0.86	$0.86	$1.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.94	Professional		$0.80	$0.80	$0.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $1.84 / $1.84	Facility		$0.77	$1.84	$1.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.70 / $3.16 / $4.84	Facility		$2.70	$3.16	$4.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.43 / $5.92	Professional		$1.12	$1.43	$5.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $0.86 / $1.24	Facility		$0.69	$0.86	$1.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $0.54	Professional		$0.54	$0.54	$0.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $0.86 / $90.00	Facility		$0.69	$0.86	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $1.28 / $3.37	Professional		$0.47	$1.28	$3.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $65.00 / $90.00	Professional		$0.95	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $0.86 / $1.24	Facility		$0.67	$0.86	$1.24
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $0.54	Professional		$0.54	$0.54	$0.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $1.31 / $2.38	Professional		$0.86	$1.31	$2.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.77 / $90.00	Facility		$1.75	$1.77	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $5.92	Professional		$5.92	$5.92	$5.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.11	Professional		$1.11	$1.11	$1.11
Security Health Facility/Professional Facility Modifier Low / Median / High Price $0.97 / $0.97 / $0.97	Facility		$0.97	$0.97	$0.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.11	Professional		$1.11	$1.11	$1.11
United Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $1.11 / $2.99	Professional		$0.34	$1.11	$2.99