Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.06 / $124.92	Facility		$0.03	$0.06	$124.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.13	Professional		$0.04	$0.04	$0.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Facility		$0.05	$0.05	$0.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.05	Professional		$0.04	$0.04	$0.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.06	Facility		$0.05	$0.05	$0.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.09 / $0.13	Facility		$0.04	$0.09	$0.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.10 / $0.11	Professional		$0.04	$0.10	$0.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.71	Facility		$0.03	$0.03	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.08 / $0.26	Professional		$0.05	$0.08	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $2.35	Facility		$0.03	$0.03	$2.35
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 $0.04 / $65.00 / $85.00	Professional		$0.04	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.71	Facility		$0.03	$0.03	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.08 / $0.26	Professional		$0.05	$0.08	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.06 / $1.00	Professional		$0.03	$0.06	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Professional		$0.04	$0.04	$0.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.08	Professional		$0.06	$0.06	$0.08
United Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.06	Professional		$0.04	$0.04	$0.06