Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.05	Professional		$0.03	$0.03	$0.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.09	Facility		$0.05	$0.05	$0.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.06	Professional		$0.05	$0.05	$0.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.11 / $0.11	Facility		$0.04	$0.11	$0.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.90 / $1.40	Facility		$0.03	$0.90	$1.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.10 / $0.47	Professional		$0.03	$0.10	$0.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.06	Facility		$0.02	$0.05	$0.06
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.05 / $0.06	Professional		$0.04	$0.05	$0.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.05 / $80.00	Facility		$0.03	$0.05	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.06	Professional		$0.02	$0.03	$0.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $55.00 / $85.00	Professional		$0.04	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.06	Facility		$0.02	$0.05	$0.06
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.05 / $0.06	Professional		$0.04	$0.05	$0.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.51 / $1.00	Professional		$0.05	$0.51	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.10 / $80.00	Facility		$0.03	$0.10	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $3.54	Professional		$0.03	$0.03	$3.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.05	Professional		$0.02	$0.03	$0.05