Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.45 / $0.65	Facility		$0.28	$0.45	$0.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.45 / $0.87	Professional		$0.35	$0.45	$0.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $0.55 / $0.55	Facility		$0.55	$0.55	$0.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.44 / $0.66	Professional		$0.44	$0.44	$0.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $0.65 / $0.70	Facility		$0.60	$0.65	$0.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $1.07 / $1.53	Facility		$0.44	$1.07	$1.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $1.61 / $1.83	Professional		$0.30	$1.61	$1.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.44 / $0.71	Facility		$0.28	$0.44	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.88 / $0.88	Professional		$0.26	$0.88	$0.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.44 / $100.00	Facility		$0.28	$0.44	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.28 / $0.88	Professional		$0.26	$0.28	$0.88
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 $0.28 / $0.44 / $0.71	Facility		$0.28	$0.44	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.88 / $0.88	Professional		$0.26	$0.88	$0.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.45 / $1.13	Professional		$0.43	$0.45	$1.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.77 / $85.00 / $100.00	Facility		$2.77	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.44 / $2.77	Professional		$0.44	$0.44	$2.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $6.98	Professional		$0.62	$0.62	$6.98
United Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.44 / $0.66	Professional		$0.44	$0.44	$0.66