Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Facility		$0.05	$0.05	$0.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.05 / $0.07	Professional		$0.03	$0.05	$0.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.15	Facility		$0.08	$0.08	$0.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.07 / $0.09	Professional		$0.05	$0.07	$0.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.17 / $0.17	Facility		$0.06	$0.17	$0.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $1.02 / $1.40	Facility		$0.05	$1.02	$1.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.15 / $0.47	Professional		$0.04	$0.15	$0.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.07 / $0.10	Facility		$0.04	$0.07	$0.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.10	Professional		$0.06	$0.06	$0.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.08 / $90.00	Facility		$0.05	$0.08	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.05 / $0.12	Professional		$0.04	$0.05	$0.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $55.00 / $85.00	Professional		$0.06	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.07 / $0.10	Facility		$0.04	$0.07	$0.10
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.10	Professional		$0.06	$0.06	$0.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.65 / $1.02	Professional		$0.08	$0.65	$1.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.68 / $90.00	Facility		$0.06	$0.68	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.36 / $5.30	Professional		$0.04	$0.36	$5.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Professional		$0.08	$0.08	$0.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Professional		$0.08	$0.08	$0.08
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.04 / $0.08	Professional		$0.03	$0.04	$0.08