Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.45 / $0.69	Facility		$0.28	$0.45	$0.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.28 / $1.00	Professional		$0.27	$0.28	$1.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.34 / $0.34	Facility		$0.34	$0.34	$0.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.40	Professional		$0.27	$0.27	$0.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.37 / $0.40 / $0.43	Facility		$0.37	$0.40	$0.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.54 / $0.77	Facility		$0.27	$0.54	$0.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.48 / $0.55	Professional		$0.30	$0.48	$0.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.30 / $0.42	Facility		$0.27	$0.30	$0.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.54 / $0.54	Professional		$0.45	$0.54	$0.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.33 / $100.00	Facility		$0.30	$0.33	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.30 / $0.54	Professional		$0.26	$0.30	$0.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $65.00 / $90.00	Professional		$0.28	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.30 / $0.42	Facility		$0.27	$0.30	$0.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.54 / $0.54	Professional		$0.45	$0.54	$0.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.34 / $1.08	Professional		$0.27	$0.34	$1.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $85.00 / $100.00	Facility		$2.18	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $2.18	Professional		$0.27	$0.27	$2.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.30	Professional		$0.30	$0.30	$0.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.38 / $0.38	Professional		$0.26	$0.38	$0.38
United Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.56	Professional		$0.27	$0.27	$0.56