Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.06 / $0.09	Facility		$0.04	$0.06	$0.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $167.94	Professional		$0.06	$0.06	$167.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Facility		$0.08	$0.08	$0.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.07	Professional		$0.06	$0.06	$0.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.10	Facility		$0.08	$0.08	$0.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.30 / $0.61	Facility		$0.06	$0.30	$0.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.11 / $0.13	Professional		$0.04	$0.11	$0.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $1.38	Facility		$0.04	$0.04	$1.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.12 / $0.12	Professional		$0.06	$0.12	$0.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $1.38	Facility		$0.04	$0.04	$1.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.12	Professional		$0.04	$0.04	$0.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $65.00 / $85.00	Professional		$0.02	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $1.38	Facility		$0.04	$0.04	$1.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.12 / $0.12	Professional		$0.06	$0.12	$0.12
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 $0.06 / $0.06 / $100.00	Facility		$0.06	$0.06	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.06	Professional		$0.06	$0.06	$0.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.19	Professional		$0.08	$0.08	$0.19
United Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.07 / $0.09	Professional		$0.06	$0.07	$0.09