Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.42 / $0.57	Facility		$0.32	$0.42	$0.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.57 / $0.78	Professional		$0.56	$0.57	$0.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $1.05 / $1.27	Facility		$0.71	$1.05	$1.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $0.76	Professional		$0.56	$0.56	$0.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.56 / $1.05	Facility		$0.21	$0.56	$1.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.56 / $1.33	Professional		$0.21	$0.56	$1.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.66 / $1.14	Facility		$0.44	$0.66	$1.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.56 / $0.69	Professional		$0.34	$0.56	$0.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.57 / $5.01	Facility		$0.21	$0.57	$5.01
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $1.13 / $3.21	Professional		$0.32	$1.13	$3.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.22 / $3.27	Facility		$0.21	$0.22	$3.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.23 / $602.92	Professional		$0.21	$0.23	$602.92
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 $0.21 / $0.57 / $5.01	Facility		$0.21	$0.57	$5.01
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $1.13 / $3.21	Professional		$0.32	$1.13	$3.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $0.60 / $1.13	Professional		$0.51	$0.60	$1.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $85.00 / $100.00	Facility		$0.56	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $1.02 / $602.92	Professional		$0.45	$1.02	$602.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $2.08	Professional		$0.80	$0.80	$2.08
United Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.60 / $0.72	Professional		$0.56	$0.60	$0.72