Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.25	Facility		$0.09	$0.09	$0.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.09 / $6.20	Professional		$0.05	$0.09	$6.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.25	Facility		$0.15	$0.15	$0.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $0.17	Professional		$0.14	$0.15	$0.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.23 / $0.32	Facility		$0.15	$0.23	$0.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.21 / $0.42	Professional		$0.16	$0.21	$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 $0.08 / $0.25 / $0.47	Professional		$0.08	$0.25	$0.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.13 / $0.15	Facility		$0.09	$0.13	$0.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.15	Professional		$0.10	$0.10	$0.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.13 / $0.16	Facility		$0.09	$0.13	$0.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $0.20	Professional		$0.08	$0.09	$0.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.13 / $0.15	Facility		$0.09	$0.13	$0.15
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.15	Professional		$0.10	$0.10	$0.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.27 / $1.00	Professional		$0.15	$0.27	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.52 / $80.00	Facility		$0.30	$0.52	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.68 / $3.54	Professional		$0.08	$0.68	$3.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
United Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.08 / $0.15	Professional		$0.06	$0.08	$0.15