Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.38 / $0.38	Facility		$0.38	$0.38	$0.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.38 / $0.62	Professional		$0.31	$0.38	$0.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $0.83 / $1.37	Facility		$0.75	$0.83	$1.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.70 / $0.92	Professional		$0.65	$0.70	$0.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $1.61 / $1.61	Facility		$0.54	$1.61	$1.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $1.99 / $2.80	Facility		$0.42	$1.99	$2.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.95 / $1.41	Professional		$0.36	$0.95	$1.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.56 / $0.86	Facility		$0.22	$0.56	$0.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.74 / $0.90	Professional		$0.42	$0.74	$0.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.75 / $80.00	Facility		$0.38	$0.75	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.50 / $0.81	Professional		$0.34	$0.50	$0.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $55.00 / $85.00	Professional		$0.83	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.56 / $0.86	Facility		$0.22	$0.56	$0.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.74 / $0.90	Professional		$0.42	$0.74	$0.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $1.13 / $2.00	Professional		$0.75	$1.13	$2.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $1.46 / $80.00	Facility		$0.42	$1.46	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.42 / $3.83	Professional		$0.36	$0.42	$3.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.75 / $0.75	Professional		$0.75	$0.75	$0.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.75 / $0.75	Professional		$0.75	$0.75	$0.75
United Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.45 / $0.66	Professional		$0.28	$0.45	$0.66