Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.28 / $0.45	Facility		$0.19	$0.28	$0.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.33	Professional		$0.19	$0.19	$0.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Facility		$0.24	$0.24	$0.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.28	Professional		$0.19	$0.19	$0.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.28 / $0.30	Facility		$0.26	$0.28	$0.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.45 / $0.64	Facility		$0.19	$0.45	$0.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.30 / $0.34	Professional		$0.19	$0.30	$0.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.19 / $0.28	Facility		$0.19	$0.19	$0.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.38 / $0.38	Professional		$0.28	$0.38	$0.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.21 / $85.00	Facility		$0.19	$0.21	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.19 / $0.32	Professional		$0.17	$0.19	$0.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $58.40 / $85.00	Professional		$0.20	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.19 / $0.28	Facility		$0.19	$0.19	$0.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.38 / $0.38	Professional		$0.28	$0.38	$0.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.30 / $1.10	Professional		$0.19	$0.30	$1.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $85.00	Facility		$0.31	$0.31	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.31	Professional		$0.19	$0.19	$0.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.19	Professional		$0.19	$0.19	$0.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.27	Professional		$0.27	$0.27	$0.27
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.28	Professional		$0.19	$0.19	$0.28