Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.25 / $0.25	Facility		$0.25	$0.25	$0.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.32	Professional		$0.24	$0.24	$0.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.37	Professional		$0.24	$0.24	$0.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.38 / $0.59	Facility		$0.33	$0.38	$0.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.39 / $0.72	Facility		$0.24	$0.39	$0.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.44 / $0.85	Professional		$0.24	$0.44	$0.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.28 / $0.56	Facility		$0.24	$0.28	$0.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.70	Facility		$0.28	$0.28	$0.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $480.32	Professional		$0.28	$0.28	$480.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $50.00 / $85.00	Professional		$0.24	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.28 / $0.56	Facility		$0.24	$0.28	$0.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.38 / $1.10	Professional		$0.24	$0.38	$1.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $100.00	Facility		$85.00	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.53 / $480.32	Professional		$0.24	$0.53	$480.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.34 / $0.43	Professional		$0.30	$0.34	$0.43
United Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.31	Professional		$0.24	$0.24	$0.31