Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $1.68 / $15.95	Facility		$0.21	$1.68	$15.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.27 / $1.50	Professional		$0.16	$0.27	$1.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.25 / $0.25	Facility		$0.25	$0.25	$0.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.30	Professional		$0.20	$0.20	$0.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.30 / $0.32	Facility		$0.28	$0.30	$0.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.20	Professional		$0.13	$0.13	$0.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.45 / $0.64	Facility		$0.20	$0.45	$0.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.26 / $0.30	Professional		$0.19	$0.26	$0.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $0.71	Facility		$0.20	$0.20	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.40 / $0.54	Professional		$0.30	$0.40	$0.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $1.55 / $100.00	Facility		$0.20	$1.55	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.20 / $0.42	Professional		$0.17	$0.20	$0.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $65.00 / $90.00	Professional		$0.19	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $0.71	Facility		$0.20	$0.20	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.40 / $0.54	Professional		$0.30	$0.40	$0.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.23 / $1.08	Professional		$0.19	$0.23	$1.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $85.00 / $100.00	Facility		$1.85	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.41	Professional		$0.20	$0.20	$0.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.28 / $0.28	Professional		$0.17	$0.28	$0.28
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.20 / $0.42	Professional		$0.18	$0.20	$0.42