Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $0.78 / $9.86	Facility		$0.40	$0.78	$9.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.40 / $1.00	Professional		$0.39	$0.40	$1.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $0.49 / $0.49	Facility		$0.49	$0.49	$0.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.57	Professional		$0.39	$0.39	$0.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.53 / $0.57 / $0.62	Facility		$0.53	$0.57	$0.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.89 / $1.28	Facility		$0.39	$0.89	$1.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.50 / $0.56	Professional		$0.38	$0.50	$0.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.39 / $0.60	Facility		$0.33	$0.39	$0.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.78 / $0.78	Professional		$0.26	$0.78	$0.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.42 / $100.00	Facility		$0.39	$0.42	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.39 / $0.78	Professional		$0.31	$0.39	$0.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $65.00 / $90.00	Professional		$0.36	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.39 / $0.60	Facility		$0.33	$0.39	$0.60
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.78 / $0.78	Professional		$0.26	$0.78	$0.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $1.08	Professional		$0.39	$0.39	$1.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $85.00 / $100.00	Facility		$3.00	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.49	Professional		$0.39	$0.39	$0.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Professional		$0.23	$0.23	$0.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.55 / $0.55	Professional		$0.25	$0.55	$0.55
United Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.39 / $0.82	Professional		$0.35	$0.39	$0.82