Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.40 / $0.62	Facility		$0.19	$0.40	$0.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.26	Professional		$0.19	$0.19	$0.26
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 / $0.25	Professional		$0.19	$0.19	$0.25
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 / $0.44 / $0.77	Facility		$0.19	$0.44	$0.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.25 / $0.48	Professional		$0.19	$0.25	$0.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.20 / $0.74	Facility		$0.19	$0.20	$0.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.38 / $0.38	Professional		$0.26	$0.38	$0.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $0.68	Facility		$0.20	$0.20	$0.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $224.77	Professional		$0.20	$0.20	$224.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.20 / $0.98	Facility		$0.19	$0.20	$0.98
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.38 / $0.38	Professional		$0.26	$0.38	$0.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.36 / $1.00	Professional		$0.19	$0.36	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.56 / $224.77	Professional		$0.19	$0.56	$224.77
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 $0.27 / $0.27 / $0.61	Professional		$0.27	$0.27	$0.61
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.25	Professional		$0.19	$0.19	$0.25