Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.08	Facility		$0.03	$0.03	$0.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.05	Professional		$0.02	$0.03	$0.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.08	Facility		$0.05	$0.05	$0.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.08 / $0.11	Facility		$0.05	$0.08	$0.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.07 / $0.42	Professional		$0.05	$0.07	$0.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.05 / $1.40	Facility		$0.90	$1.05	$1.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.09 / $0.47	Professional		$0.03	$0.09	$0.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.05 / $0.05	Facility		$0.03	$0.05	$0.05
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.05	Professional		$0.04	$0.04	$0.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.05 / $0.06	Facility		$0.03	$0.05	$0.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.08	Professional		$0.03	$0.03	$0.08
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 $0.03 / $0.05 / $0.05	Facility		$0.03	$0.05	$0.05
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.05	Professional		$0.04	$0.04	$0.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.08 / $1.00	Professional		$0.05	$0.08	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.52 / $80.00	Facility		$0.10	$0.52	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.25 / $3.54	Professional		$0.03	$0.25	$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